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Organization

CENTRAL REFERENCE LABORATORY INC

Active
Other names
DIAMOND REFERENCE LABORATORY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ABBAS RAJAEE M.SC.,J.D. (CEO)
90908616966
Entity
Organization

Contact information

Practice address
1470 S.VALLEY VISTA DR, 100, DIAMOND BAR, CA 91765-3903
(909) 861-6966
(909) 860-6396
Mailing address
1470 S.VALLEY VISTA DR, 100, DIAMOND BAR, CA 91765-3903
(909) 861-6966
(909) 860-6396

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4032
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CLF4032
LAB
CA
05
LAB04032F
CA
Enumeration date
12/12/2006
Last updated
12/14/2007
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