| NPI | 1922325877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANI EHTESHAMI Medical Director And President 888-463-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA G74263) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2011-11-01 |