Organization · NPI-2

Anthony Bledin MD INC

Clinical Medical Laboratory · Los Angeles, CA

NPI number1861648164
StatusActive
Last updated in NPPESAug 18, 2008

Details

NPI
1861648164
Entity type
Organization (NPI-2)
Legal business name
Anthony Bledin MD INC
Organization subpart
No
Enumeration date
Aug 18, 2008
Last updated
Aug 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical LaboratoryC42124CAYes

Practice location

7301 S Western Ave
Los Angeles, CA 90047-2254

Phone 323-778-2131 · Fax 323-778-2382

Mailing address

1851 Holser Walk Ste 220
Oxnard, CA 93036-2626

Phone 805-988-1111 · Fax 805-988-0254

Authorized official

Anthony G Bledin
Radiologist
8054949940

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