| NPI | 1265532113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REYES Billing Position 310-273-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10547) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-09-15 |