Mak Diagnostic Services, Inc.

NPI 1093799108 - Physiological Laboratory - 293D00000X

NPI Details
NPI 1093799108
Enumeration Date 12/01/2005
Last Updated 01/04/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BORIS BORIS
Position ADMINISTRATOR
Phone (310) 289-0217
Fax (310) 289-0372
Practice Location
292 S LA CIENEGA BLVD
STE 202
BEVERLY HILLS CA, 90211-3330, US
Phone (310) 289-0217
Fax (310) 289-0372
Business Location
8306 WILSHIRE BLVD
STE 210
BEVERLY HILLS CA, 90211-2382, US
Phone (310) 289-0217
Fax (310) 289-0372
Toxanomy
Taxonomy Code 293D00000X
License State
License Number
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According to our database, Mak Diagnostic Services, Inc. NPI is 1093799108, taxonomy code is 293D00000X Mak Diagnostic Services, Inc. physically located at 292 S La Cienega Blvd, Beverly Hills CA, 90211-3330. NPI Number 1033115704 has the healthcare provider type.

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1093799108 NPI number is provided on an as is basis without warranty of any kind. 1093799108 is maintained by the National Plan & Provider Enumeration System. The contents of Mak Diagnostic Services, Inc. are for informational purposes only.