| NPI | 1649444282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A MACKIN Owner 928-773-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 17570) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-09-16 |