| NPI | 1407231343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN SAMUEL KULUBYA Md 714-701-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA G54189) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |