| NPI | 1316355233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID NAGELBUSH President 623-205-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D1021408) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |