| NPI | 1245393354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M LOCKER Manager 602-942-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |