| NPI | 1841523263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVGENY SAZONOV CEO 818-574-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d1102651) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |