Allergy Laboratory

NPI 1184854119 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1184854119
Enumeration Date 07/24/2009
Last Updated 07/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RUBIO RUBIO
Position PRESIDENT
Phone (818) 345-8499
Fax (818) 345-1156
Practice Location
18607 VENTURA BLVD
SUITE 111
TARZANA CA, 91356-4159, US
Phone (818) 345-8499
Fax (818) 345-1156
Business Location
18607 VENTURA BLVD
SUITE 111
TARZANA CA, 91356-4159, US
Phone (818) 345-8499
Fax (818) 345-1156
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number 05D1084238
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According to our database, Allergy Laboratory NPI is 1184854119, taxonomy code is 291U00000X and license number is 05D1084238, license state is located at California. Allergy Laboratory physically located at 18607 Ventura Blvd, Tarzana CA, 91356-4159. NPI Number 1033115704 has the healthcare provider type.

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1184854119 NPI number is provided on an as is basis without warranty of any kind. 1184854119 is maintained by the National Plan & Provider Enumeration System. The contents of Allergy Laboratory are for informational purposes only.