| NPI | 1790219137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SUE PIRTZ VP, Managed Care 480-309-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-04-27 |