Organization
GHOST LINE LABS,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZIE E SCHUDER M.D. (DIRECTOR OF LAB)
(949) 722-9884
Entity
Organization
Contact information
Practice address
137 MASTERS CIRCLE, COSTA MESA, CA 92627
(619) 481-9632
Mailing address
924 TRUXTUN AVE, BAKERSFIELD, CA 93301-4820
(619) 481-9632
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G82171
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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