| NPI | 1710983671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER KOLBECK CEO/Medical Director 916-863-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA G78120) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-02-23 |