| NPI | 1003360785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY DEERING Owner 928-753-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ L21125467) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-03-07 |