VASCULAR LABORATORY OF SANTA ROSA, INC.
Technologists at Sonoma Ave, Santa Rosa, CA

License number
California C1090923
Category
Technologists
Type
Vascular Sonography
Owner
Name: MR. ROBERT RICHARDSON M.D.
Title: MANAGING DIRECTOR
Phone: (707) 545-2436
Address
Address
1111 Sonoma Ave STE 322, Santa Rosa, CA 95405
National Provider ID: 1821202003
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VASCULAR LABORATORY OF SANTA ROSA, INC

Santa Rosa, CA

Status:
Inactive
Industry:
Medical Laboratory
Registration:
Sep 28, 1981
Phone:
(707) 576-1522 (Phone)
Addresses:
111 Sonoma Ave #322, Santa Rosa, CA 95405 (Physical)
111 4 St, Santa Rosa, CA 95401
State ID:
C1090923
Business type:
Articles of Incorporation
President:
Robert Richardson President, inactive

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