| NPI | 1184854119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBIO PUNZALAN President 818-345-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d1084238) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |