| NPI | 1568518553 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DESIREE MONIQUE FELIX CEO 520-971-3676  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ Pending)  | 
| Enumeration Date | 2007-01-25 | 
| Last Update Date | 2020-08-22 |