| NPI | 1679510051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. DAVID WRIGHT Md/Owner 520-219-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ CLIA 03D1039738) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |