| NPI | 1073920146 |
|---|---|
| Other Name | BLOODLINE LAB |
| Entity Type | Organization |
| Authorized Contact | LEONARD A VILLAFUERTE President/Owner 408-913-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: CA CPT00013357) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-29 |