| NPI | 1902032121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE TORRES Managing Director 760-397-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MO LC0962178) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2024-07-31 |