Organization
CLARIENT DIAGNOSTIC SERVICES, INC.
Active
Parent organization
CLARIENT, INC. DBA CLARIENT DIAGNOSTIC SERVICES, INC.
Other names
Clarient Diagnostic Services, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARIENT, INC. DBA CLARIENT DIAGNOSTIC SERVICES, INC.
Authorized official
MR. MICHAEL R RODRIGUEZ (CHIEF FINANCIAL OFFICER)
(949) 425-5700
Entity
Organization
Contact information
Practice address
21031 VENTURA BOULEVARD, SUITE 700, WOODLAND HILLS, CA 91364-2239
(888) 690-0043
(888) 443-4153
Mailing address
31 COLUMBIA, ALISO VIEJO, CA 92656-1460
(949) 425-5700
(888) 443-4153
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
05D2044902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2044902
CLIA
CA
05
—
1649264300
—
CA
01
—
CLF 342801
STATE
CA
Enumeration date
09/19/2012
Last updated
09/19/2012
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