| NPI | 1639383847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP L. DUTT Owner 661-326-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: CA G80286) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |