| NPI | 1790914679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA GHEREGA CEO 818-304-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d1101030) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-09-16 |