High Desert Diagnostic Laboratory

NPI 1063831121 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1063831121
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name THOMAS C THOMAS
Position PRESIDENT
Phone (928) 445-0103
Fax (928) 445-1032
Practice Location
1003 DIVISION ST
SUITE 5
PRESCOTT AZ, 86301-1657, US
Phone (928) 445-0103
Fax (928) 445-1032
Business Location
1003 DIVISION ST
SUITE 3
PRESCOTT AZ, 86301-1657, US
Phone (928) 445-0103
Fax (928) 445-1032
Toxanomy
Taxonomy Code 291U00000X
License State Arizona
License Number 03D2075971
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According to our database, High Desert Diagnostic Laboratory NPI is 1063831121, taxonomy code is 291U00000X and license number is 03D2075971, license state is located at Arizona. High Desert Diagnostic Laboratory physically located at 1003 Division St, Prescott AZ, 86301-1657. NPI Number 1033115704 has the healthcare provider type.

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1063831121 NPI number is provided on an as is basis without warranty of any kind. 1063831121 is maintained by the National Plan & Provider Enumeration System. The contents of High Desert Diagnostic Laboratory are for informational purposes only.