Integrated Pathology Medical Laboratory, Inc.
NPI #1063849933 in Los Alamitos, California
Provider Information
- NPI Number
- 1063849933
- Entity Type
- Organization
- Organization Name
- Integrated Pathology Medical Laboratory, Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 8, 2013
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 10842 NOEL ST
- Address 2
- SUITE# 110
- City
- Los Alamitos
- State
- California
- ZIP Code
- 90720-2555
- Phone
- (714) 743-5253
Authorized Official
- Name
- JOHN CHATFIELD HISERODT, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (714) 743-5253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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