| NPI | 1467844092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNIE DIAZ Owner/Officer 661-588-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 424617) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |