| NPI | 1174148845 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHILIP PAUL HOEKSTRA Laboratory Director 602-603-0749  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography | 
| Enumeration Date | 2020-06-09 | 
| Last Update Date | 2020-06-09 |