| NPI | 1760102040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE MOURIELLE HERNANDEZ Managing Member 510-456-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |