Provider First Line Business Practice Location Address:
1200 N. STATE ST. CT ROOM A7E 7TH FLR.
Provider Second Line Business Practice Location Address:
LAC USC MEDICAL CENTER DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-409-7148
Provider Business Practice Location Address Fax Number:
323-441-8193
Provider Enumeration Date:
05/28/2009