| NPI | 1164881702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT ROBERTSON CEO 415-990-8426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D2123728) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2017-02-08 |