| NPI | 1619175312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE J VILLANUEVA President 626-821-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10499) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-11-15 |