| NPI | 1245780147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND DEFRANK Vice President 310-802-6827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00349227) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |