Central Medical Diagnostic Laboratory,inc.
NPI #1144230665 in Cypress, California
Provider Information
- NPI Number
- 1144230665
- Entity Type
- Organization
- Organization Name
- Central Medical Diagnostic Laboratory,inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10554 PROGRESS WAY
- Address 2
- SUITE J
- City
- Cypress
- State
- California
- ZIP Code
- 90630-4724
- Phone
- (714) 826-6830
Authorized Official
- Name
- DR. JOHN CHATFIELD HISERODT, M.D.
- Title
- PRESIDENT
- Phone
- (714) 826-6830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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