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Mr. Doug Allen Gustafson, ARDMS,RVT,RDCS
Physiological Laboratory in Agua Dulce, California
NPI 1760592984

Doug Allen Gustafson is a Physiological Laboratory based in Agua Dulce, CA. Doug Allen Gustafson practices in Agua Dulce, CA and has the professional credentials of ARDMS,RVT,RDCS. The NPI Number for Doug Allen Gustafson is 1760592984 and holds a License No. (California).

The current practice location address for Doug Allen Gustafson is 34724 Caprock Rd, Agua Dulce, CA and can be reached out via phone at 661-268-0791 and via fax at 661-268-0792.

Location: 34724 Caprock Rd, Agua Dulce, CA, 91390-5422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760592984
Provider Name
Doug Allen Gustafson
Credential
ARDMS,RVT,RDCS
Provider Entity Type
Individual
Gender
Male
Address
34724 Caprock Rd, Agua Dulce, CA, 91390-5422
Phone Number
661-268-0791
Fax Number
661-268-0792
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
34724 Caprock Rd
City
Agua Dulce
State
California
Zip
91390-5422
Phone Number
661-268-0791
Fax Number
661-268-0792
person
Provider Business Mailing Address Details
Address
34724 Caprock Rd
City
Agua Dulce
State
California
Zip
91390-5422
Phone Number
661-268-0791
Fax Number
661-268-0792
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
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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