NPI | 1033566146 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE LUCKEY Quality Manager 949-587-7514 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ CLIA 03D2112577) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |