NPI | 1184047748 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA MAE JOHNSON Administrator 323-588-0084 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLA 00322416) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2014-01-31 |