| NPI | 1750748620 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KRIKOR AIVAZIAN President 702-643-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-06-24 |