Organization
BRIDGE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOIE LANE CPC, CHC (DIRECTOR RCM AND PAYOR RELATIONS)
(678) 468-7047
Entity
Organization
Contact information
Practice address
120 VANTIS DR STE 570, ALISO VIEJO, CA 92656-2618
(800) 803-1611
Mailing address
120 VANTIS DR STE 570, ALISO VIEJO, CA 92656-2618
(800) 803-1611
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
01/18/2024
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