| NPI | 1528518826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A MARTINEZ Manager 805-709-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MS 25D2113923) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |