| NPI | 1760089080 |
|---|---|
| Doing Business As | MEDICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | RUSTOM TESTING ALI Consultant 480-703-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |