| NPI | 1578698759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MELROSE President 310-235-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0642416) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |