| NPI | 1639443161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD SIMPSON Medical Director 408-275-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CFL 342180) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |