| NPI | 1710231998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER N LEE Division Administrator 415-502-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA C23520) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |