Organization
COUNTY OF MERCED
Active
Organization
COUNTY OF MERCED
Active
Other names
Merced County Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH HAVENS (FISCAL MANAGER)
(209) 381-1200
Entity
Organization
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95340-6216
(209) 381-1200
(209) 381-1215
Mailing address
260 E 15TH ST, MERCED, CA 95340-6216
(209) 381-1200
(209) 381-1215
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB00866F
—
CA
Enumeration date
06/04/2007
Last updated
10/07/2010
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