| NPI | 1942398581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ALFRED JOHNSON Laboratory Director 520-690-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D0964576) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |