| NPI | 1992887814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU B BANSAL CEO 323-478-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0642478) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |