| NPI | 1013214915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN ROBERSON Owner General Partner 805-835-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 168800) |
| Enumeration Date | 2011-02-12 |
| Last Update Date | 2011-02-12 |