| NPI | 1306969761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN S LOCKE President 480-464-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0909740) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-05-21 |