| NPI | 1023786233 | 
|---|---|
| Doing Business As | SHORELINE DIAGNOSTICS | 
| Entity Type | Organization | 
| Authorized Contact | DOUGLAS BISCHOFF CEO 949-683-8484 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2021-09-01 | 
| Last Update Date | 2023-09-15 |