| NPI | 1508937681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY Y IVANOV President 310-246-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA clf10883) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |