| NPI | 1255272720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAI VIKYATH PERUMALLA Owner/Authorized Official 661-345-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |