Healthcare Provider Details

I. General information

NPI: 1982285722
Provider Name (Legal Business Name): ATLAS LAB & DIAGNOSTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5531 BUSINESS PARK S
BAKERSFIELD CA
93309-1668
US

IV. Provider business mailing address

5531 BUSINESS PARK S
BAKERSFIELD CA
93309-1668
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-7300
  • Fax: 661-404-4925
Mailing address:
  • Phone: 661-324-7300
  • Fax: 661-404-4925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJAN GOYAL
Title or Position: OWNER
Credential: MD
Phone: 661-324-7300