NPI 1003088832

Solmaz Modeer

Organisation Clinical Medical Laboratory Chula Vista, CA

Practice location

Address: 1635 3rd Ave STE G, Chula Vista, CA 91911-5884
Phone: (619) 409-6939
Fax: (619) 409-6949
Mailing address: 14795 Caminito Orense Este San Diego, San Diego, CA 92129-1532

Authorised official

Name: Solmaz Modeer
Title: Owner/Director
Phone: (619) 409-6939

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence TG145 (CA)

Other Clinical Medical Laboratory providers in California →

Registry record

NPI: 1003088832
Entity type: Organization
NPI issued: 1 Apr 2008
Record last updated: 16 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.