| NPI | 1265914956 |
|---|---|
| Other Name | BASS MEDICAL GROUP LABORATORY |
| Entity Type | Organization |
| Authorized Contact | BONNIE POTTER Credentialing Manager 925-948-8143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |