| NPI | 1417608472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SMITH Lab Director 619-504-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QG0250X Clinic/Center, Genetics |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |