| NPI | 1346395779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL ALI WAHEB CEO 818-402-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00003712) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0879836) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-02-27 |