Organization · NPI-2
Ashley Clinical Diagnostic Laboratory INC
Clinical Medical Laboratory · Los Angeles, CA
NPI number1992887814
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1992887814
- Entity type
- Organization (NPI-2)
- Legal business name
- Ashley Clinical Diagnostic Laboratory INC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 05D0642478 | CA | Yes |
Practice location
5542 N Figueroa StLos Angeles, CA 90042-4120
Phone 323-478-0801 · Fax 323-259-1007
Mailing address
5542 N Figueroa StLos Angeles, CA 90042-4120
Phone 323-478-0801 · Fax 323-259-1007
Authorized official
Madhu B Bansal
Ceo
3234780801
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