| NPI | 1477900520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA PIRRUCCELLO Owner 928-774-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 006926) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |