| NPI | 1659331684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESCOTT C RASMUSSEN President 323-725-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA G10130) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |