| NPI | 1891997813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD GROOMS Director 559-495-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA LAB61460F) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-01-16 |