MEDICARE: WEST HILLS 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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1841511169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST HILLS LABORATORY, LLC

Provider Business Mailing Address
First Line	:	8391 BEVERLY BLVD
Second Line	:	SUITE 131
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2633
Country	:	US
Telephone Number	:	323-540-2050
Fax Number	:

Provider Business Practice Location Address
First Line	:	8391 BEVERLY BLVD
Second Line	:	SUITE 131
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-2633
Country	:	US
Telephone Number	:	323-540-2050
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ARAMINTA S
Credential	:
Telephone Number	:	323-540-2050

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	06/22/2010

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