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Lake Side Medical Center Professional. Inc.
Physiological Laboratory in Los Angeles, California
NPI 1740572395

Lake Side Medical Center Professional. Inc. is a Physiological Laboratory based in N Hollywood, CA. Lake Side Medical Center Professional. Inc. practices in Los Angeles, CA. The NPI Number for Lake Side Medical Center Professional. Inc. is 1740572395 and holds a License No. A76121 (California).

The current practice location address for Lake Side Medical Center Professional. Inc. is 4300 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-298-1668.

Location: 4300 Crenshaw Blvd, Los Angeles, CA, 91607-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740572395
Provider Name
Lake Side Medical Center Professional. Inc.
Credential
Provider Entity Type
Organization
Address
4300 Crenshaw Blvd, Los Angeles, CA, 91607-2609
Phone Number
323-298-1668
Fax Number
Provider Enumeration Date
05/13/2011
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
4300 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90008-4902
Phone Number
323-298-1668
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90008-4902
Phone Number
323-298-1668
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
A76121 (California)
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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