| NPI | 1851833768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERGTHOLD President And CEO 602-885-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2120595) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2019-07-17 |