| NPI | 1679659114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN SANDOVAL Billing Manager 408-884-2710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0606603) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-06-24 |