| Organization Name: | CALIFORNIA SPECIMEN COLLECTION |
| NPI Number: | 1053637892 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL HANSON (PARTNER) |
| Mailing Address: | 1804 Buckeye St Highland |
| State: | CA US |
| Postal Code: | 923464616 |
| Phone Number: | 9098881600 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2010 |
| NPI Last Update Date: | 04/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |