| NPI | 1639163900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILTON HILL Medical Director 520-876-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 16840) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |