| NPI | 1760590343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOMAN WAKED Laboratory Manager 928-344-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ L325PVL) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-10-04 |