| NPI | 1740601467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWRIHARAN THAIYANANTHAN President 949-588-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA A99924) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |