| NPI | 1851748131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LUCKEY Quality Manager 949-587-7514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AR CLIA 04D2112060) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |