| NPI | 1245606078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIYUAN PENG Lab Director 702-527-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 8371LIC) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2019-01-04 |