| NPI | 1396237319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. SWANSON COO 909-476-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA COLA26258) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |