| NPI | 1043639420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUSYAK KHACHATRYAN Owner 818-424-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-10-04 |