| NPI | 1902048218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB POGOSYAN CFO 818-484-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1092532) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-06 |