Organization
DLZ LAB INC
Active
Organization
DLZ LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA GOLDBERG PH.D. (PRESIDENT)
(310) 245-0902
Entity
Organization
Contact information
Practice address
316 MAPLE AVE, TORRANCE, CA 90503-2603
(310) 787-7022
Mailing address
316 MAPLE AVE, TORRANCE, CA 90503-2603
(310) 787-7022
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0957076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0957076
MEDICARE IDENTIFICATION NUMBER
CA
Enumeration date
08/14/2012
Last updated
08/14/2012
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