| NPI | 1235214198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY W HAWKINS Administrator 310-674-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLA312840) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |