Organization
1CHINOMED INC
Active
Other names
athens medical laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FRALEY M.D. (PRESIDENT)
(888) 881-6367
Entity
Organization
Contact information
Practice address
400 E STATE ST, ATHENS, OH 45701-1856
(888) 881-6367
Mailing address
11490 BURBANK BLVD, STE 1D, NORTH HOLLYWOOD, CA 91601-2389
(888) 881-6367
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D0351113
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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