Organization
REDWOOD TOXICOLOGY LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEILA TRAN (VP FINANCE)
(800) 255-2159
Entity
Organization
Contact information
Practice address
3650 WESTWIND BLVD, SANTA ROSA, CA 95403-1066
(800) 255-2159
(707) 569-1442
Mailing address
3650 WESTWIND BLVD, SANTA ROSA, CA 95403-1066
(800) 255-2159
(707) 569-1442
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 3738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563635
—
IA
05
—
1149781
—
LA
05
—
200305900A
—
IN
05
—
37000692
—
KY
05
—
410780000
—
ME
05
—
429190500
—
MD
05
—
4490625
—
MI
05
—
690000004
—
AL
05
—
769630
—
AZ
05
—
806553300
—
ID
05
—
98003262
—
CO
05
—
LAB07588F
—
CA
05
—
LB588CA
—
AK
Enumeration date
07/05/2005
Last updated
01/14/2020
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