| NPI | 1750494209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIG Chief Commercial Officer 714-566-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 4785-STATE LICENSE) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 4785) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-02-08 |