| NPI | 1114292869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY BUBUSHYAN Manager 818-988-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF ID 00340402) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |