Organization
MISSION TOXICOLOGY, LLC
Active
Organization
MISSION TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON LAZATIN (PRESIDENT)
(951) 475-7784
Entity
Organization
Contact information
Practice address
23052 ALICIA PKWY, STE H495, MISSION VIEJO, CA 92692-1643
(951) 475-7784
(951) 384-2820
Mailing address
PO BOX 894388, LOS ANGELES, CA 90189-4388
(951) 475-7784
(951) 384-2820
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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