| NPI | 1336529361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M TIPPETTS Billing Manager 858-436-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLA00011398) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |