| NPI | 1750045969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE KIRSLING Pior Authorization Manager 602-830-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |