| NPI | 1063656809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T ALCANTAR Laboratory Director 310-828-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0982456) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |