| NPI | 1548377914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEKSANDR DMYTRIIEV CEO 818-487-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA clf333110) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-11-03 |