| NPI | 1609141639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD A KOLB President & Shareholder 626-440-6191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF334938) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2017-08-25 |