| NPI | 1083739668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMIDA MENDOZA-GARCIA Office Manager 909-591-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 26965) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |