Organization
PRIME CLINICAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BRAGASIN (OWNER)
(661) 253-1173
Entity
Organization
Contact information
Practice address
72650 FRED WARING DR, PALM DESERT, CA 92260-5006
(661) 253-1173
Mailing address
27825 FREMONT CT STE 14, VALENCIA, CA 91355-1143
(661) 253-1173
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/30/2016
Last updated
08/05/2022
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