| NPI | 1134288095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA STIDHAM Chief Of Managed Care 323-860-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 11D1013395) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2019-09-11 |