| NPI | 1538610761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS VALENCIA Credentialing Specialist 310-267-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |