Organization
ARBOR VITA CORPORATION
Active
Other names
Holly Yamada, MD Inc, HEMEDIAGNOSTICS, LAB, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LU MD (CEO)
(650) 793-3686
Entity
Organization
Contact information
Practice address
48371 FREMONT BLVD STE 101, FREMONT, CA 94538-6554
(650) 793-3686
(510) 573-4758
Mailing address
48371 FREMONT BLVD STE 101, FREMONT, CA 94538-6554
(650) 793-3686
(510) 573-4758
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G654880
BLUE SHIELD
CA
05
—
LAB21148F
—
CA
Enumeration date
03/21/2006
Last updated
05/27/2022
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