| NPI | 1457515744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EUGENE FRY Owner 480-292-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 1030708) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-12-16 |