| NPI | 1063164267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GAINES Medical Assistant/Phlebotomy 623-694-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |