| NPI | 1912093873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DE LA TORRE C.O.O. 602-685-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 207ZP0105X) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-10-26 |