Viracor-ibt Laboratories, Inc.

NPI 1114084167 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1114084167
Enumeration Date 01/02/2007
Last Updated 03/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW G MATTHEW
Position CFO
Phone (213) 387-4199
Fax (213) 387-6543
Practice Location
2222 OCEAN VIEW AVE
SUITE 210
LOS ANGELES CA, 90057-2757, US
Phone (213) 387-4199
Fax (213) 387-6543
Business Location
1001 NW TECHNOLOGY DRIVE
LEES SUMMIT MO, 64086, US
Phone (816) 554-5111
Fax (816) 251-6645
Toxanomy
Taxonomy Code 291U00000X
License State California
License Number CLF11825
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According to our database, Viracor-ibt Laboratories, Inc. NPI is 1114084167, taxonomy code is 291U00000X and license number is CLF11825, license state is located at California. Viracor-ibt Laboratories, Inc. physically located at 2222 Ocean View Ave, Los Angeles CA, 90057-2757. NPI Number 1033115704 has the healthcare provider type.

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1114084167 NPI number is provided on an as is basis without warranty of any kind. 1114084167 is maintained by the National Plan & Provider Enumeration System. The contents of Viracor-ibt Laboratories, Inc. are for informational purposes only.