Organization
ONE LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCK MENGISTU (OFFICER)
(310) 740-1279
Entity
Organization
Contact information
Practice address
211 N PRAIRIE AVE, SUITE H, INGLEWOOD, CA 90301-1412
(310) 740-1279
Mailing address
211 N PRAIRIE AVE, SUITE H, INGLEWOOD, CA 90301-1412
(310) 740-1279
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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