| NPI | 1639588890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S GILLIS President 310-268-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00343424) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2019-02-06 |