| NPI | 1114332632 | 
|---|---|
| Doing Business As | VANTARI GENETICS, LLC | 
| Entity Type | Organization | 
| Authorized Contact | DOMINIC OSWALD WEILBAECHER VP Revenue Cycle 949-536-6070 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory | 
| Enumeration Date | 2014-06-23 | 
| Last Update Date | 2015-11-19 |