| NPI | 1952803652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ MALLIK President 623-383-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-03-16 |