| NPI | 1992043152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA PERRY CFO 480-675-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 50D0661599) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2020-05-22 |