| NPI | 1841062528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS STEPHEN SCHWARTZ Program Administrator 760-448-5397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |