| NPI | 1730324518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF NMI JONES Owner 209-951-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1086032) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |