| NPI | 1437695731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHAN FERDOUS Director 480-703-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 03D2120368) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |