| NPI | 1013431527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FERNANDEZ HERNANDEZ Phleboto MIS T 480-669-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |