| NPI | 1144615634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA M RIZKALLA Practice Administrator 602-765-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0882062) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |