| NPI | 1518142090 |
|---|---|
| Other Name | ANTIOCH MEDICAL PARK LAB |
| Entity Type | Organization |
| Authorized Contact | J GENE ZIMMERMAN Director 925-754-9223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA LAB97463F) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-23 |