| NPI | 1598425076 |
|---|---|
| Former Legal Business Name | MAGGIE'S LAB CAB |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA KAY KYER Medical Director 928-230-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |