Organization
R & B MEDICAL GROUP, INC.
Active
Other names
UNIVERSAL DIAGNOSTIC LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
SHIELA BUSHERI (CEO)
(818) 324-3780
Entity
Organization
Contact information
Practice address
6700 VALJEAN AVE, VAN NUYS, CA 91406-5818
(818) 582-3189
(818) 849-5442
Mailing address
6700 VALJEAN AVE, VAN NUYS, CA 91406
(818) 582-3189
(818) 849-5442
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF322706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0938253
CLIA
—
05
—
LAB38253F
—
CA
Enumeration date
02/12/2007
Last updated
04/20/2022
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