| NPI | 1164560272 |
|---|---|
| Former Legal Business Name | MED-PRO MANAGEDMENT |
| Entity Type | Organization |
| Authorized Contact | SAYEEDA SULTANA Medical Director 310-635-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA A53436) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |