| NPI | 1245637313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHIR KUMAR BEZWA REDDY President 909-946-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA BL00086632) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |