Crestview Clinical Laboratory

NPI #1154557213 in Rialto, California

Provider Information

NPI Number
1154557213
Entity Type
Organization
Organization Name
Crestview Clinical Laboratory
Subpart
Yes (part of a larger organization)
Parent Organization
CRESTVIEW CONVALESCENT HOSPITAL
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 3, 2009
Last Updated
Jun 3, 2009

Practice Location

Address
1471 S RIVERSIDE AVE
City
Rialto
ZIP Code
92376-7703
Phone
(909) 877-1361

Authorized Official

Name
MRS. LEONA JUNE BERGLUND
Title
ADMINISTRATOR
Phone
(909) 877-1361

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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