| NPI | 1619176179 |
|---|---|
| Doing Business As | CENTRAL COAST MEDICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | DENIS SAVENKO Owner 918-815-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |