| NPI | 1043281561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY RAYMUNDO Director Of Public Health 909-387-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2018-04-30 |