Biodata Medical Laboratories, INC
NPI #1558450601 in Montclair, California
Provider Information
- NPI Number
- 1558450601
- Entity Type
- Organization
- Organization Name
- Biodata Medical Laboratories, INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 5494 ARROW HWY
- City
- Montclair
- State
- California
- ZIP Code
- 91763-1604
- Phone
- (909) 445-9727
Authorized Official
- Name
- MR. HENRY WALLACH, CLS
- Title
- CEO
- Phone
- (909) 445-9727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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