| NPI | 1972873305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTANO DELEON GERONIMO Owner/Laboratory Manager 626-840-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLF00341934) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2012-06-27 |