| 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 |