| NPI | 1063129120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID ROWLAND Chief Operating Officer 323-810-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |