| NPI | 1891909941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH AMICOSANTE Billing Manager 650-395-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NJ 00007503) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NJ 25MA05880800) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-03-30 |