| NPI | 1447598222 |
|---|---|
| Doing Business As | MEDICAL LAB CO. |
| Entity Type | Organization |
| Authorized Contact | REYMUNDO NOUR Manager 760-600-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA CLR00343403) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 363L00000X Nurse Practitioner (Licence: CA CLR00343403) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2014-06-19 |