Brightstar Lab
Clinical Medical Laboratory in Glendale, CA. Organization (NPI-2).
NPI number1427896166
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1427896166
- Entity type
- Organization (NPI-2)
- Legal business name
- Brightstar Lab
- Organization subpart
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Brightstar Lab (Doing Business As)
Practice location
4634 San Fernando RdGlendale, CA 91204
Phone 747-215-6633
Mailing address
4634 San Fernando RdGlendale, CA 91204
Phone 714-493-1224
Authorized official
Ahsan Baseer
Technical Supervisor
7144931224
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