Organization
LIDO MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL SHINDER (CEO)
(714) 381-5140
Entity
Organization
Contact information
Practice address
1351 LOGAN AVE UNIT C, COSTA MESA, CA 92626-4006
(714) 381-5140
Mailing address
1351 LOGAN AVE UNIT C, COSTA MESA, CA 92626-4006
(714) 381-5140
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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