| NPI | 1275867558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXEY G KURKIN CEO 818-448-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1102572) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2009-09-20 |