N/A

Practice location

Address

4051 Lone Tree Way STE C, Antioch, CA 94531-6204

Phone

(925) 757-2900

Mailing address

1869 San Andres Dr, Pittsburg, CA 94565-7651

Authorised official

Name

Kevin Roland Martin

Title

Phlebotomist

Phone

(925) 458-5124

Registered specialties

Registry record

NPI

1194055749

Entity type

Organization

NPI issued

4 Jan 2010

Record last updated

4 Jan 2010

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.