| NPI | 1023545787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABY CRUZ Owner 702-815-1550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 29D2104141) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |