| NPI | 1073973558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA M GONDRA Doctor 480-240-8815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 44933) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |