Organization
ARBOR VITA CORPORATION
Active
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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