| NPI | 1104220193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANMUGAVEL MADASAMY President 650-452-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2084226) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-11-17 |