Praesidium Diagnostic LLC
NPI #1265011464 in Venice, California
Provider Information
- NPI Number
- 1265011464
- Entity Type
- Organization
- Organization Name
- Praesidium Diagnostic LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 5, 2021
- Last Updated
- Mar 3, 2023
Practice Location
- Address
- 320 LINCOLN BLVD, #100
- City
- Venice
- State
- California
- ZIP Code
- 90291
- Phone
- (310) 807-1373
Authorized Official
- Name
- TRAVIS OWEN
- Title
- CFO
- Phone
- (310) 807-1373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinical Medical Laboratory |
| Internal Medicine |
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