PATHNET ESOTERIC LABORATORY INSTITUTE
Medical Laboratory at Hayvenhurst Ave, Van Nuys, CA

License number
California CLF1123
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
California COS800143
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. ALAN MITCHELL KAYE
Title: PRESIDENT/CEO
Phone: (818) 780-6300
Address
Address
7247 Hayvenhurst Ave SUITE A3, Van Nuys, CA 91406
National Provider ID: 1518062082
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PATHNET ESOTERIC LABORATORY INSTITUTE

7247 Hayvenhurst Ave STE A3, Van Nuys, CA 91406

Status:
Inactive
Phone:
(818) 780-6300 (Phone)
Business type:
Dba Pathnet Esoteric Laboratory Institute Incorporated
Entity State:
DE
CFOs:
Alan Kaye (President), 7247 Hayvenhurst Ave A3, Van Nuys, CA 91406,Robert Levine (CFO), 7247 Hayvenhurst Ave A3, Van Nuys, CA 91406
Agent:
Martin Rodriguez,2391 NE Loop 410 SUITE 309, San Antonio, TX 78217 (Physical)
TIN:
32002376062
Categories:
Medical Diagnostic Clinics, Medical Laboratories

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