| NPI | 1992186134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HURST DAEM Owner 480-201-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 0918) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2015-06-13 |