Provider First Line Business Practice Location Address:
C/O CLINICAL LABORATORY, ACMC/HIGHLAND GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
1411 EAST 31ST STREET
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-4671
Provider Business Practice Location Address Fax Number:
510-437-5045
Provider Enumeration Date:
09/07/2006