Organization
LAGUNA HILLS PATHOLOGY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD K. JACQUES (PRESIDENT)
(615) 345-6900
Entity
Organization
Contact information
Practice address
300 UTAH AVE, STE 150, SOUTH SAN FRANCISCO, CA 94080-6800
(650) 835-4477
Mailing address
401 COMMERCE ST, STE 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
04/13/2016
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