NPI | 1477800308 |
---|---|
Doing Business As | YUMA LIGHTHOUSE |
Entity Type | Organization |
Authorized Contact | JOHN HOGEBOOM VP/COO 480-831-7566 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2039695) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-08-09 |