| NPI | 1124899661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUSHAN SIAMI NAMINI Owner 760-864-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-07-10 |