05D0583884 CLIA NUMBER - PMK MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0583884

Facility Name: PMK MEDICAL GROUP INC

Facility Address:
1700 NORTH ROSE AVE STE 320
OXNARD, CA
ZIP 93030
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Facility Phone Number: (805) 485-8709

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1962405860

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	05D0583884
LAB Type	PHYSICIAN OFFICE
Facility Name	PMK MEDICAL GROUP INC
Street	1700 NORTH ROSE AVE STE 320
City	OXNARD
State	CA
ZIP	93030
Phone	(805) 485-8709

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This page was last updated on: 5/11/2023