| NPI | 1083279830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIN SEOB LEE CEO 858-345-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-04-08 |