Gulfport Testing
NPI #1922331347 in Northridge, California
Provider Information
- NPI Number
- 1922331347
- Entity Type
- Organization
- Organization Name
- Gulfport Testing
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 16, 2009
- Last Updated
- Sep 16, 2009
Practice Location
- Address
- 9245 RESEDA BLVD
- Address 2
- STE 744
- City
- Northridge
- State
- California
- ZIP Code
- 91324-3137
- Phone
- (818) 235-9054
Authorized Official
- Name
- ERNEST R RANDALL
- Title
- CEO
- Phone
- (818) 235-9054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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