| NPI | 1518002898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MARION Billing Manager 626-305-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10748) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-01-19 |