Organization
DYNAMIC CLINICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN EBRAHIMIAN (OWNER)
(213) 595-1000
Entity
Organization
Contact information
Practice address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(800) 595-6976
(213) 402-3015
Mailing address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(800) 595-6976
(213) 402-3015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1045035
CA
Other
Enumeration date
09/28/2015
Last updated
11/15/2016
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