| NPI | 1841290806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. PUFFENBERGER CEO 928-779-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0533720) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |