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Organization

MYONSITE DIAGNOSTIC LAB

Active
Other names
myOnsite Diagnostic Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
MAYANK TRIVEDI (OWNER)
(248) 881-5445
Entity
Organization

Contact information

Practice address
30211 AVENIDA DE LAS BANDERA STE 200, RANCHO SANTA MARGARITA, CA 92688-2159
(248) 881-5445
(626) 703-4620
Mailing address
1990 MAIN ST STE 750, SARASOTA, FL 34236-8000
(248) 881-5445
(626) 703-4620

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
291U00000X
Clinical Medical Laboratory
CLF 00345114
CA

Other

Enumeration date
12/27/2013
Last updated
09/30/2022
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