| NPI | 1699918763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOAZ LERER Managing Member 602-368-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D1098706) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2015-03-19 |