| NPI | 1407009269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD BRAY Deputy Probation Officer Ii 323-610-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291900000X Military Clinical Medical Laboratory |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |