| NPI | 1114060522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MITCHELL Director Public Health Services 209-468-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |