Organization
LIBERTY DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY O'BRIEN (PRESIDENT & CEO)
(626) 795-2700
Entity
Organization
Contact information
Practice address
600 S LAKE AVE, SUITE 205, PASADENA, CA 91106-3955
(626) 795-2700
(626) 795-2800
Mailing address
600 S LAKE AVE, SUITE 205, PASADENA, CA 91106-3955
(626) 795-2700
(626) 795-2800
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
02/05/2013
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