| NPI | 1356595011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C. WALLACE Laboratory Director 949-824-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1034314) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |