Lactation Lab INC.
Clinical Medical Laboratory in Los Angeles, CA. Organization (NPI-2).
NPI number1962095083
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1962095083
- Entity type
- Organization (NPI-2)
- Legal business name
- Lactation Lab INC.
- Organization subpart
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Lactation Lab INC. (Doing Business As)
Practice location
570 Westwood Plz Bldg 6350Los Angeles, CA 90095-8352
Phone 310-508-5265
Mailing address
2315 27th StSanta Monica, CA 90405-1921
Phone 310-998-5868
Authorized official
Stephanie Canale
MD/ Ceo/ Lab Director
3105085265
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