| NPI | 1053492611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL RUELAS President 213-595-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D1060117) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |