Antioch Medical Park Medical Lab
NPI #1518142090 in Antioch, California
Provider Information
- NPI Number
- 1518142090
- Entity Type
- Organization
- Organization Name
- Antioch Medical Park Medical Lab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ANTIOCH MEDICAL PARK MEDICAL GROUP
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 3, 2008
- Last Updated
- Jan 23, 2008
Practice Location
- Address
- 3737 LONE TREE WAY
- City
- Antioch
- State
- California
- ZIP Code
- 94509-6065
- Phone
- (925) 754-1254
Authorized Official
- Name
- DR. J GENE ZIMMERMAN, MD
- Title
- DIRECTOR
- Phone
- (925) 754-9223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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