| NPI | 1396961082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M KAMRAVA Director 310-888-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF11205) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-17 |