| NPI | 1588004196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHAYEFAR President 310-360-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2048878) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |