| NPI | 1003437500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ALLISON VANDINTER Executive Director Of Billing 949-966-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-01-21 |