| NPI | 1235215641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK AZAD Director/Owner 323-756-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00321668) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-05-18 |