| NPI | 1497019111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT LUCHINI Accounts Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2040895) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |