Organization
MEDICAL SCIENCE LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMBAKSH TAVAKOLI CHS (PRESIDENT)
(310) 360-0066
Entity
Organization
Contact information
Practice address
432 S SAN VICENTE BLVD STE 200, LOS ANGELES, CA 90048-4192
(310) 360-0066
(310) 360-0302
Mailing address
432 S SAN VICENTE BLVD STE 220, LOS ANGELES, CA 90048-4183
(310) 360-0066
(310) 360-0302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1082642
CA
Other
Enumeration date
09/05/2008
Last updated
03/17/2009
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