Organization
ALLIED LABORATORIES, INC.
Active
Other names
Allied Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN S LEWIS B.L.D. (PRESIDENT)
(650) 335-8336
Entity
Organization
Contact information
Practice address
453 RAVENDALE DR STE B, MOUNTAIN VIEW, CA 94043-5221
(650) 335-8336
(650) 390-9011
Mailing address
453 RAVENDALE DR STE B, MOUNTAIN VIEW, CA 94043-5221
(650) 335-8336
(650) 390-9011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 21
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0605512
CENTER FOR MEDICARE AND MEDICAID SERVICE: CLIA
—
01
—
ZZZ30615Z
MEDICAID (INACTIVE)
CA
01
—
ZZZ30615Z
MEDICARE PIN (INACTIVE)
—
Enumeration date
07/10/2008
Last updated
07/10/2008
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