| NPI | 1528095015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN CROWN CEO 209-527-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0934266) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |