| NPI | 1124386966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TRAVIS WOODS Owner 480-855-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2046062) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-03-07 |