| NPI | 1194493007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN N LEW Administrator 909-777-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2022-07-13 |