| NPI | 1609932672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WEIDMAN Lab Director 818-713-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA LAB57530F) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-07-18 |