| NPI | 1336707900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIKOR AIVAZIAN President 702-643-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2021-12-27 |