| NPI | 1750896494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROKH EBRAHIMIAN CFO 888-435-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2064523) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |