| NPI | 1346912466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BAERWALD Director 310-922-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 261QG0250X Clinic/Center, Genetics | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-12-17 |