Crystal Diagnostic Inc

NPI 1194159616 - Clinic/Center - 261QS1200X

NPI Details
NPI 1194159616
Enumeration Date 09/03/2013
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANAIT ANAIT
Position PRESIDENT
Phone (818) 988-8777
Fax
Practice Location
14126 SHERMAN WAY STE 10A
VAN NUYS CA, 91405-5632, US
Phone (818) 988-8777
Fax
Business Location
14126 SHERMAN WAY #10A
VAN NUYS CA, 91405-5632, US
Phone (818) 988-8777
Fax
Toxanomy
Taxonomy Code 261QS1200X
License State
License Number
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According to our database, Crystal Diagnostic Inc NPI is 1194159616, taxonomy code is 261QS1200X Crystal Diagnostic Inc physically located at 14126 Sherman Way Ste 10a, Van Nuys CA, 91405-5632. NPI Number 1033115704 has the healthcare provider type.

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1194159616 NPI number is provided on an as is basis without warranty of any kind. 1194159616 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Diagnostic Inc are for informational purposes only.