| NPI | 1720350226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVORK DEYIRMENJIAN Vic 818-566-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00003712) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |