Organization
OC CLINICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVETIS AMALYAN (PRESIDENT)
(714) 635-0100
Entity
Organization
Contact information
Practice address
2301 W LINCOLN AVE STE 220, ANAHEIM, CA 92801-5135
(714) 635-0100
(714) 635-4300
Mailing address
2301 WEST LINCOLN AVE, SUITE # 220, ANAHEIM, CA 92801-5135
(714) 635-0100
(714) 635-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
339261
CA
291U00000X
Clinical Medical Laboratory
Primary
CLF339261
CA
Other
Enumeration date
01/15/2010
Last updated
05/06/2011
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