Provider Demographics
NPI:1518200971
Name:LABORATORY MANAGMENT SPECIALIST
Entity Type:Organization
Organization Name:LABORATORY MANAGMENT SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISIOR
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-729-4522
Mailing Address - Street 1:11640 WARNER AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2513
Mailing Address - Country:US
Mailing Address - Phone:714-729-4522
Mailing Address - Fax:866-678-5321
Practice Address - Street 1:11640 WARNER AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2513
Practice Address - Country:US
Practice Address - Phone:714-729-4522
Practice Address - Fax:866-678-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty