Organization
COLWELL CLINICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL O COLWELL (PRESIDENT)
(714) 834-1872
Entity
Organization
Contact information
Practice address
1125 E 17TH STREET, SUITE N156, SANTA ANA, CA 92701
(714) 834-1872
(714) 834-1141
Mailing address
1125 E 17TH ST, SUITE N156, SANTA ANA, CA 92701-2201
(714) 834-1872
(714) 834-1141
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4478
CA
Other
Enumeration date
09/25/2006
Last updated
04/30/2008
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