| NPI | 1427008002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN GILLETTE Medical Director 480-948-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 07421933U) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-10-16 |