Provider Demographics
NPI:1144589615
Name:FRANKLIN MEDICAL TESTING
Entity Type:Organization
Organization Name:FRANKLIN MEDICAL TESTING
Other - Org Name:HARTFORD PHARMACEUTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MORTEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-554-3333
Mailing Address - Street 1:13896 HARBOR BLVD
Mailing Address - Street 2:UNIT 5C
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4045
Mailing Address - Country:US
Mailing Address - Phone:714-554-2222
Mailing Address - Fax:
Practice Address - Street 1:13896 HARBOR BLVD
Practice Address - Street 2:UNIT 5C
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4045
Practice Address - Country:US
Practice Address - Phone:714-554-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLR00331574291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory