Organization
GENLAB INC
Active
Other names
ELAB OF SOUTHERN CALIFORNIA
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO PABRIAGA (CEO)
(702) 233-8601
Entity
Organization
Contact information
Practice address
1615 SWEETWATER RD, NATIONAL CITY, CA 91950-7655
(725) 777-8066
Mailing address
2950 S RAINBOW BLVD STE 260, LAS VEGAS, NV 89146-6213
(702) 233-8601
(702) 233-8608
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
06/11/2019
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