| NPI | 1861568784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYMOND MARTINSON CFO 949-900-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA CLF11694) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2024-08-22 |