Healthcare Provider Details

I. General information

NPI: 1215888136
Provider Name (Legal Business Name): VERIDRAW SPECIMEN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 E 238TH PL
CARSON CA
90745-5832
US

IV. Provider business mailing address

351 E 238TH PL
CARSON CA
90745-5832
US

V. Phone/Fax

Practice location:
  • Phone: 714-808-7164
  • Fax: 714-808-7164
Mailing address:
  • Phone: 714-367-6851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: SHEREN TAWFIK
Title or Position: CO-OWNER
Credential:
Phone: 714-808-7164