MYONSITE DIAGNOSTIC LAB NPI 1942621560

NPI Information

MYONSITE DIAGNOSTIC LAB is a phlebotomy technician pathology in Rancho Santa Margarita, CA. MYONSITE DIAGNOSTIC LAB NPI is 1942621560. The provider is registered as an organization entity type.
The provider Is Doing Business As Myonsite Diagnostic Laboratory.

The provider's business location address is:

30211 AVENIDA DE LAS BANDERA STE 200
RANCHO SANTA MARGARITA, CA
ZIP 92688-159
Phone: (248) 881-5445
Fax: (626) 703-4620

The provider's authorized official is Mayank Trivedi .
The authorized official title is Owner and has the following contact phone number (248) 881-5445.

The CLIA number assigned to this NPI record is 05D2069537 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2013 and was last updated on 9/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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