RHEUMATOLOGY DIAGNOSTICS LABORATORY INC
Medical Laboratory at Venice Blvd, Los Angeles, CA

License number
California CLF3096
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MRS. ALLAN METZGER
Title: CEO
Phone: (310) 253-5455
Address
Address
10755 Venice Blvd, Los Angeles, CA 90034
National Provider ID: 1013900778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RHEUMATOLOGY DIAGNOSTICS LABORATORY, INC

Delray Beach, FL  -  Los Angeles, CA

Status:
Inactive
Inactive reason:
Surrender of Authority
Registration:
Mar 25, 2014
Inactive since:
Sep 1, 2005
Addresses:
15127 Jog Rd, Delray Beach, FL 33446 (Physical)
10755 Venice Blvd, Los Angeles, CA 90034 (Mailing)
State ID:
F14000001376
Business type:
Foreign Profit Corporation
Formation place:
CALIFORNIA
Expiration:
09/16/2011
Directors:
Dr Morris, 10755 Venice Blvd, Los Angeles, CA 90034 (Physical),Allan Metzger (Director), 10755 Venice Blvd, Los Angeles, CA 90034 (Physical),Barbara L. Morris (President), 10755 Venice Blvd, Los Angeles, CA 90034 (Physical),...
Agent:
Ratier, John,15127 Jog Rd, Delray Beach, FL 33446 (Physical)
EIN:
953053422

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