| NPI | 1720243660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FARRINGTON Administrator 928-865-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ OTC-3507) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |