| NPI | 1548081789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LORRAINE HESTER CEO/Director 623-277-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291900000X Military Clinical Medical Laboratory |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |