| NPI | 1275843740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE CASTANON CEO 818-448-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D0661429) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |