| NPI | 1992052534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA GOLDBERG President 310-245-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0957076) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |