| NPI | 1962642249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D AMBROSE CEO 818-448-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05d1091233) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |