| NPI | 1053782441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA MELNIC Owner 818-378-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-06-27 |