NPI | 1629254644 |
---|---|
Entity Type | Organization |
Authorized Contact | SUJATHA GUNNALA Laboratory Director 602-956-7481 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 11933) |
Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: AZ 11933) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-04-10 |