| NPI | 1578748018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B DAVIS President 619-461-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA TG245) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |