| NPI | 1992189864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BORTA President 602-294-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ OTC7025) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-08-05 |