| NPI | 1912317066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R. SIMPSON Lab Director 818-855-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00345059) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |