| NPI | 1912289133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK KIESNER CEO 949-271-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00341215) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |