Organization
MVML, INC.
Active
Other names
GNOSIS, MEDLAB2020,INC, TruArc Health, Mountain View Medical Laboratory - Orange
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE AZARRAGA (DIRECTOR OF COMPLIANCE)
(562) 215-2811
Entity
Organization
Contact information
Practice address
1594 N MAIN ST, ORANGE, CA 92867-3443
(714) 974-2020
(714) 279-2020
Mailing address
300 SPECTRUM CENTER DRIVE, SUITE 200, IRVINE, CA 92618-4987
(951) 658-1400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3907
MARYLAND DEPT. OF HEALTH
MD
01
—
40965
PA DEPT. OF HEALTH
PA
01
—
CDF-900001870
DEPT. OF HEALTH SERV
CA
01
—
LCO01741
DEPT. OF HEALTH - CENTER FOR HEALTH FACILITIES REGULATION
RI
Enumeration date
11/05/2020
Last updated
01/16/2025
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