| NPI | 1508956152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARSHAD FIROUZNAM President 888-866-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 99035247) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-04-08 |