| NPI | 1497197461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX MIROT Owner 520-459-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0713539) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2016-10-18 |