| NPI | 1932576931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MANIPOL COO/Cco 310-975-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2098646) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |