Organization · NPI-2

Aja Lab LLC

Clinical Medical Laboratory · Los Angeles, CA

NPI number1437565264
StatusActive
Last updated in NPPESJul 1, 2014

Details

NPI
1437565264
Entity type
Organization (NPI-2)
Legal business name
Aja Lab LLC
Organization subpart
No
Enumeration date
Jul 1, 2014
Last updated
Jul 1, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory–CAYes

Practice location

11150 W Olympic Blvd
Suite 760
Los Angeles, CA 90064-1817

Phone 813-644-7753 · Fax 888-482-2405

Mailing address

11150 W Olympic Blvd
Suite 760
Los Angeles, CA 90064-1817

Phone 813-644-7753 · Fax 888-482-2405

Authorized official

Jason Levine
Member
8136447753

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