| NPI | 1992103188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS W BILLIPS Director 310-651-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA CLM 000346988) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2014-12-20 |