| NPI | 1053507442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL ANDERSON Medical Director 415-734-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA A98379) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |