Medical Diagnostic Allergy Testing, Inc.
NPI #1255545927 in Tustin, California
Provider Information
- NPI Number
- 1255545927
- Entity Type
- Organization
- Organization Name
- Medical Diagnostic Allergy Testing, Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14642 NEWPORT AVENUE
- Address 2
- 250
- City
- Tustin
- State
- California
- ZIP Code
- 92780
- Phone
- (714) 669-4490
Authorized Official
- Name
- MRS. LILY GOH
- Title
- OFFICE MANAGER
- Phone
- (714) 669-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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