| NPI | 1215541560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MICHELSON CEO 480-690-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2021-11-03 |