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NPI Code Detail

MEDICARE: APEX PRODIGY SOLUTIONS LLC

MEDICARE: APEX PRODIGY SOLUTIONS 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 Laboratory

General Provider Information

NPI Number : 1811669047
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX PRODIGY SOLUTIONS LLC
Provider Business Mailing Address
First Line : 7230 MEDICAL CENTER DR STE 304
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-4011
Country : US
Telephone Number : 818-639-8808
Fax Number : 818-639-8788
Provider Business Practice Location Address
First Line : 7230 MEDICAL CENTER DR STE 304
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-4011
Country : US
Telephone Number : 818-639-8808
Fax Number : 818-639-8788
Authorized Official
Title or Position : OWNER
Name : MS. STEPHANIE I ASHFORD
Credential :
Telephone Number : 661-864-8055
Provider Enumeration Date : 10/05/2021
Last Update Date : 10/05/2021

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Directions to “APEX PRODIGY SOLUTIONS LLC ” Practice Location

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