| NPI | 1972829752 |
|---|---|
| Doing Business As | PERSONALIZEDX |
| Entity Type | Organization |
| Authorized Contact | HALLIE A STOHLER Office Admin 949-587-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00339441) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2017-09-14 |