| NPI | 1417204157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE VELASQUEZ Clinical Administrator 602-506-6657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ AZ016) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |