| NPI | 1528561362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK RANDALL GRIMES Chief Operating Officer 480-757-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2122615) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |