| NPI | 1861413023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. HISERODT President/Medical Director 714-743-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00011540) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 11540) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-09-09 |