| NPI | 1619108123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B TILLMAN CEO/President 818-876-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 912) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |