| NPI | 1407164486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHVETA MEHRA President 623-806-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-03-04 |