Organization · NPI-2

Advanced Family Care Medical Laboratory

Clinical Medical Laboratory · Los Angeles, CA

NPI number1184047748
StatusActive
Last updated in NPPESJan 31, 2014

Details

NPI
1184047748
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Care Medical Laboratory
Organization subpart
Yes
Enumeration date
Jan 31, 2014
Last updated
Jan 31, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical LaboratoryCLA 00322416CAYes

Practice location

1201 E Florence Ave
Los Angeles, CA 90001-2432

Phone 323-588-0084 · Fax 323-617-3169

Mailing address

1201 E Florence Ave
Los Angeles, CA 90001-2432

Phone 323-588-0084 · Fax 323-617-3169

Authorized official

Lorna Mae Johnson
Administrator
3235880084

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