| NPI | 1063968675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA I HAKIM Principal 702-233-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NV 8032LIC-0) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |