NPI | 1912234618 |
---|---|
Doing Business As | ARIZONA DERMATOPATHOLOGY |
Entity Type | Organization |
Authorized Contact | MICHAEL C. GRATTENDICK Vice President 561-626-5512 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 31463) |
Enumeration Date | 2009-11-17 |
Last Update Date | 2015-04-13 |