| NPI | 1366587503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VANCE Director 818-773-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA clf4149) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |