| NPI | 1073788410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA I YBARRA Phlebotomist 520-305-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03d2012178) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2011-01-04 |