| NPI | 1700466745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN VELARDE Owner/Chief Operating Officer 949-677-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-14 |