| NPI | 1568694792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO DEAN MILLER President 510-593-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 3222485) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |