Provider First Line Business Practice Location Address:
UCLA PATHOLOGY AND LABORATORY MEDICINE
Provider Second Line Business Practice Location Address:
BOX 951732, A7-149 CHS
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-1732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-5719
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2009