| NPI | 1649375189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN THOMAS WHEELER President 702-733-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA MTS-3261) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-01-27 |