Direct Diagnostic Labs LLC
NPI #1013664606 in Santa Monica, California
Provider Information
- NPI Number
- 1013664606
- Entity Type
- Organization
- Organization Name
- Direct Diagnostic Labs LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 3, 2022
- Last Updated
- Apr 7, 2022
Practice Location
- Address
- 2701 OCEAN PARK BLVD STE 114
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-5200
- Phone
- (651) 315-5157
Authorized Official
- Name
- SPENCER MOFFATT, PHD
- Title
- SENIOR VP
- Phone
- (651) 315-5157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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