Imperial Valley Family Care Medical Group
Imperial Valley Family Care Medical Group is a Clinical Medical Laboratory in Imperial, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
516 W Aten Rd Ste 3Imperial, CA 92251
Phone: (760) 355-2701
Fax: (760) 355-8397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 05D0681409 (CA) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 05D0973957 (CA) |
Record details
| NPI number | 1750348033 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vachaspathi Palakodeti — President · (760) 355-7730 |
| Other names | Imperial Valley Family Care Medical Group Laboratory |
| NPI enumerated | April 28, 2006 |
| Last updated in NPPES | April 24, 2008 |
| Mailing address | 516 West Aten Road, Suite 2, Imperial, CA 92251 |