Provider Demographics
NPI:1316782063
Name:CRIMSON MEDICAL LABORATORIES INC
Entity type:Organization
Organization Name:CRIMSON MEDICAL LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL CONSULTANT / SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASEER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-493-1224
Mailing Address - Street 1:1575 N LAKE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2340
Mailing Address - Country:US
Mailing Address - Phone:310-893-0851
Mailing Address - Fax:310-893-0851
Practice Address - Street 1:1575 N LAKE AVE STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2340
Practice Address - Country:US
Practice Address - Phone:310-893-0851
Practice Address - Fax:310-893-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory