| NPI | 1114035664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EVAN ANDERSON Director 949-642-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0954008) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |