| NPI | 1366850901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HAMIC Manager 949-243-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 346204) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-04-15 |