| NPI | 1164722310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISAEL GONZALEZ CEO 818-387-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49d1042305) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |