| NPI | 1336500867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BENJAMIN EVANS Laboratory Director 602-791-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2073405) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |