Genomic Testing Cooperative Lca
NPI #1346713989 in Lake Forest, California
Provider Information
- NPI Number
- 1346713989
- Entity Type
- Organization
- Organization Name
- Genomic Testing Cooperative Lca
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 25371 COMMERCENTRE DR
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-8859
- Phone
- (949) 540-9421
Authorized Official
- Name
- MR. LAWRENCE ECK
- Title
- COO
- Phone
- (657) 202-5951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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