| NPI | 1265231336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIKEE PITTMAN President 951-877-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-19 |