| NPI | 1396842472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS LEE TAGUE CEO 951-270-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1000595) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-03-27 |