| NPI | 1083932784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA C BERRY Executive Assistant 520-805-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ H-0015) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |