Organization
ADVANCED DIAGNOSTICS LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN SIMPSON (DIRECTOR OF CQRM)
(949) 274-8355
Entity
Organization
Contact information
Practice address
23275 S POINTE DRIVE, SUITE 150, LAGUNA HILLS, CA 92653
(949) 274-8355
(949) 258-5076
Mailing address
23275 S POINTE DRIVE, SUITE 150, LAGUNA HILLS, CA 92653
(949) 274-8355
(949) 258-5076
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2087903
CA
Other
Enumeration date
12/19/2014
Last updated
06/10/2015
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