INTERSCOPE PATHOLOGY MEDICAL GROUP
Medical Laboratory at Vanowen St, Woodland Hills, CA

License number
California CLF3199
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. ALAN S BRICKLIN MD
Title: MEDICAL DIRECTOR
Phone: (818) 992-7848
Address
Address
21114 Vanowen St, Woodland Hills, CA 91303
National Provider ID: 1386807246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INTERSCOPE PATHOLOGY MEDICAL GROUP, INC

21114 Vanowen St, Canoga Park, CA 91303

Industry:
Medical Laboratory
Registration:
Aug 24, 1976
Phone:
(818) 992-7848 (Phone)
State ID:
C0785429
Business type:
Articles of Incorporation
President:
William J. Colburn (President)
Agent:
William J Colburn,Canoga Park, CA 91303 (Physical)

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