| NPI | 1326234204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEEMA G BHUTANI Director 949-551-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 99039304) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-11-24 |