BLOODSOURCE, INC.
Medical Laboratory at Peter A Mccuen Blvd, Mather, CA

License number
California 05D0615608
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. MICHAEL FULLER
Title: CEO
Phone: (916) 456-1500
Address
Address
10536 Peter A Mccuen Blvd, Mather, CA 95655
National Provider ID: 1548489024
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BLOODSOURCE, INC

10536 Peter A Mccuen Blvd, Mather, CA 95655

Industry:
Health & Allied Services, Health/Allied Services
Registration:
Jul 15, 1947
Phone:
(916) 456-1500 (Phone)
State ID:
C0218736
Business type:
Articles of Incorporation
President:
Michael J. Fuller (President)
Agent:
Michael J Fuller,Mather, CA 95655 (Physical)

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