| NPI | 1447557822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C HISERODT President 714-902-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00340712) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2017-11-15 |