| NPI | 1467637249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN PANGANIBAN Medical Director 408-866-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0884822) |
| Enumeration Date | 2007-12-30 |
| Last Update Date | 2014-07-25 |