| NPI | 1093146052 |
|---|---|
| Doing Business As | MLK-MACC |
| Entity Type | Organization |
| Authorized Contact | ART BERNAL Cbo Manager 323-890-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |