| NPI | 1225434343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG STUART NIELSON CEO, Sonographer 805-705-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 154435) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2015-03-19 |