| 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 |