| NPI | 1265371439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVINASH REDDY PADKANTI Owner/Authorized Official 661-301-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-25 |