| NPI | 1558990523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KING Manager 702-400-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2021-03-03 |