| NPI | 1003787599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANUDDIN MOHAMMAD Manager 213-619-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-07-11 |