| NPI | 1376996009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CHASIN Owner 310-528-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 00038910) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |