| NPI | 1922346758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALONZO GANONG Director 661-321-6173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d2051152) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |