| NPI | 1891152534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MCCRACKEN Chief Executive Officer 858-270-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d2102775) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |