| NPI | 1801044508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMBAKSH TAVAKOLI President 310-360-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1082642) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2009-03-17 |