| 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 |