Community Health Clinical Laboratory LLC
NPI #1679109995 in Nipomo, California
Provider Information
- NPI Number
- 1679109995
- Entity Type
- Organization
- Organization Name
- Community Health Clinical Laboratory LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 18, 2020
- Last Updated
- Mar 19, 2020
Practice Location
- Address
- 150 TEJAS PLACE
- Address 2
- BLDG. B SUITE A
- City
- Nipomo
- State
- California
- ZIP Code
- 93444
- Phone
- (805) 338-0460
Authorized Official
- Name
- ALEXANDRE FEOKTISTOV
- Title
- PRESIDENT
- Phone
- (805) 338-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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