| NPI | 1407191356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDA M TADROS President 760-843-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 05D0643174) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 05D0563949) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 05D0562204) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |