| NPI | 1629426135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORVELLE A HARRIS Owner 760-448-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA A17446) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-07-28 |