| NPI | 1487600565 |
|---|---|
| Doing Business As | NORTHWEST LAB |
| Entity Type | Organization |
| Authorized Contact | MIKE AVEDISSIAN President 818-752-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10750) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-01-11 |