| NPI | 1427580109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY KALAJIAN Chief Accounting Officer 510-755-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA In-process) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-09-02 |