| NPI | 1295159226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ROBINETTE Chief Executive Officer 520-836-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0667661) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2017-08-03 |