| NPI | 1407348147 |
|---|---|
| Doing Business As | LASSEN MEDICAL CLINIC ANCILLARY SERVICES |
| Entity Type | Organization |
| Authorized Contact | KIM MIRANDA Chief Financial Officer 530-225-6121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |