| NPI | 1194834028 |
|---|---|
| Doing Business As | 100 PLAZA CLINICAL LAB |
| Entity Type | Organization |
| Authorized Contact | BAHRAM PARSA Director 310-208-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF519) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-03-27 |