| NPI | 1851422240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WILSON Operations Manager 626-305-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10748) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |