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NPI Code Detail

MEDICARE: HORIZON TOXICOLOGY LABORATORY LLC

MEDICARE: HORIZON TOXICOLOGY LABORATORY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory05D204876CA

General Provider Information

NPI Number : 1346698826
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON TOXICOLOGY LABORATORY LLC
Provider Business Mailing Address
First Line : 10507 SLATER AVE
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-4841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10507 SLATER AVE
Second Line :
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-4841
Country : US
Telephone Number : 888-216-1745
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ANNE VILAGUT
Credential :
Telephone Number : 888-216-1745
Provider Enumeration Date : 05/25/2016
Last Update Date : 05/25/2016

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Directions to “HORIZON TOXICOLOGY LABORATORY LLC ” Practice Location

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