Provider Demographics
NPI:1639564503
Name:DOSE BODY & HOME, L.L.C.
Entity Type:Organization
Organization Name:DOSE BODY & HOME, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:619-708-3685
Mailing Address - Street 1:1767 HISTORIC DECATUR RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-6410
Mailing Address - Country:US
Mailing Address - Phone:619-708-3685
Mailing Address - Fax:
Practice Address - Street 1:1767 HISTORIC DECATUR RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6410
Practice Address - Country:US
Practice Address - Phone:619-708-3685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory