| NPI | 1437599164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAM KABBANI Owner 310-376-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d2044828) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-03-15 |