Organization
PACIFIC TOXICOLOGY MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORT COLBERT (BDM)
(805) 522-9274
Entity
Organization
Contact information
Practice address
980 ENCHANTED WAY STE 211, SIMI VALLEY, CA 93065-0914
(805) 522-9274
Mailing address
1464 MADERA RD # N182, SIMI VALLEY, CA 93065-3077
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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