| NPI | 1912334129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E VORPAHL Owner 928-526-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 10588) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |