05D2210228 CLIA NUMBER - H MILANO MELLON MD INC

Laboratory Demographics

CLIA Number: 05D2210228

Facility Name: H MILANO MELLON MD INC

Facility Address:
915 MYRTLE AVE
INGLEWOOD, CA
ZIP 90301
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Facility Phone Number: (310) 673-3133

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1003008103

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name Field Value
CLIA Number 05D2210228
LAB Type PHYSICIAN OFFICE
Facility Name H MILANO MELLON MD INC
Street 915 MYRTLE AVE
City INGLEWOOD
State CA
ZIP 90301
Phone (310) 673-3133

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