| NPI | 1922459577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YADIRA VALLES President 818-789-1033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 00328498) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-02-25 |