| NPI | 1912129222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DAWN CLARK President Owner 951-781-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF10367) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-12 |