| NPI | 1790052256 |
|---|---|
| Doing Business As | NO OTHER NAME |
| Entity Type | Organization |
| Authorized Contact | AZRA OZZIE ZARRINPAR Director Of The Lab 310-273-1589 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA A87800) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |