| NPI | 1285886515 |
|---|---|
| Doing Business As | SGMF INDEPENDENT CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0610690) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2014-04-01 |