| NPI | 1265277792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY TROVATTEN Director, Gove RN Ment Reimbursement 916-734-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |