| NPI | 1003098997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINSON Business Operations Director 702-818-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TN 44D1072470) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-11-11 |