| NPI | 1306099346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR EFIMENKO President 818-742-8716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d1090253) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |