NPI | 1689880387 |
---|---|
Entity Type | Organization |
Authorized Contact | WELDON DAVID COUCH President 520-298-4589 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 30163) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |