| NPI | 1629183454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADIP KUMAR RUSTAGI Medical Doctor 650-324-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA G83670) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |