Organization · NPI-2

100 Plaza Clinical Lab INC

Clinical Medical Laboratory · Los Angeles, CA

NPI number1194834028
StatusActive
Last updated in NPPESMar 27, 2009

Details

NPI
1194834028
Entity type
Organization (NPI-2)
Legal business name
100 Plaza Clinical Lab INC
Organization subpart
No
Enumeration date
Aug 30, 2006
Last updated
Mar 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical LaboratoryCLF519CAYes

Other names

  • 100 Plaza Clinical Lab (Doing Business As)

Practice location

100 Ucla Medical Plz
Suite #245
Los Angeles, CA 90024-6970

Phone 310-208-0099 · Fax 310-208-0963

Mailing address

100 Ucla Medical Plz
Suite #245
Los Angeles, CA 90024-6970

Phone 310-208-0099 · Fax 310-208-0963

Authorized official

Bahram Parsa
Director
3102080099

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