| NPI | 1558095711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA MCCALL CEO/Owner 909-767-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-19 |