| NPI | 1649531377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY SULLIVAN Health Center Director 928-769-4369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |