| NPI | 1013917020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAN V HEARD Laboratory Director 310-677-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 1801) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2014-11-04 |