Personalized Pediatric Laboratories LLC
NPI #1194416628 in Santa Monica, California
Provider Information
- NPI Number
- 1194416628
- Entity Type
- Organization
- Organization Name
- Personalized Pediatric Laboratories LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 16, 2023
- Last Updated
- May 18, 2023
Practice Location
- Address
- 1744 BERKELEY ST
- City
- Santa Monica
- State
- California
- ZIP Code
- 90404-4105
- Phone
- (725) 240-0608
Authorized Official
- Name
- MICHELLE MANALO
- Title
- LABORATORY SUPERVISOR
- Phone
- (619) 253-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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