| NPI | 1972570620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R STARKE Owner Director 760-347-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF4029) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2008-06-12 |