| NPI | 1457473977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEI SHIBKOV President 310-419-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA RDMS35487) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-28 |