| NPI | 1235114067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK JOSEPH Brtl Medical Director 510-705-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA LEO22797-0) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0888918) |
| 291U00000X Clinical Medical Laboratory (Licence: CA CLF10781) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800007851) | |
| 291U00000X Clinical Medical Laboratory (Licence: MD 733) | |
| 291U00000X Clinical Medical Laboratory (Licence: NY PFI4995) | |
| 291U00000X Clinical Medical Laboratory (Licence: PA 023005) | |
| 291U00000X Clinical Medical Laboratory (Licence: RI LC000312) | |
| 291U00000X Clinical Medical Laboratory (Licence: WV HIV-RL-23) | |
| 291U00000X Clinical Medical Laboratory (Licence: CA 50355) | |
| 291U00000X Clinical Medical Laboratory (Licence: CA 2005-02-038) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |