| NPI | 1154350932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DE LA TORRE C.O.O. 602-685-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2013-12-18 |