NPI | 1407820889 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN THOMAS WHEELER Vice President 702-733-7866 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 10D0294870) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D0696966) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2025-05-31 |