| NPI | 1518473263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD LEVINE Director 602-570-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 26977) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-11-04 |