Luke Smile Eagle CLS

NPI 1144401829 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1144401829
Gender Male
Enumeration Date 11/21/2007
Last Updated 11/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11301 WILSHIRE BLVD
LOS ANGELES CA, 90073-1003, US
Phone (310) 478-3711
Fax
Business Location
424 E AVENUE J11
LANCASTER CA, 93535-4012, US
Phone (661) 945-6735
Fax (661) 945-6735
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number MTA32504
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According to our database, Mr. Luke Smile Eagle CLS NPI is 1144401829, taxonomy code is 291U00000X and license number is MTA32504, license state is located at California. Luke Smile Eagle CLS physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073-1003. NPI Number Luke Smile Eagle CLS has the Individual type.

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1144401829 NPI number is provided on an as is basis without warranty of any kind. 1144401829 is maintained by the National Plan & Provider Enumeration System. The contents of Luke Smile Eagle CLS are for informational purposes only.