| NPI | 1558663815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E MOORE Director 520-360-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 3011610) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |