Lake Havasu Medical Laboratory,Ltd. in Lake Havasu City - Clinical Medical Laboratory
Lake Havasu Medical Laboratory,Ltd. - NPI 1558348151
Lake Havasu Medical Laboratory,Ltd. is a Clinical Medical Laboratory in Lake Havasu City, Arizona. Lake Havasu Medical Laboratory,Ltd. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Lake Havasu Medical Laboratory,Ltd. is 1558348151. The last update date is 2020-08-22.
Lake Havasu Medical Laboratory,Ltd.'s current location address is 1951 Mesquite Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288554077 and fax number 9288555470. The mailing address for Lake Havasu Medical Laboratory,Ltd. is 1951 Mesquite Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Havasu Medical Laboratory,Ltd. |
|---|---|
| Address | 1951 Mesquite Ave, Lake Havasu City, Arizona |
| Phone Number | 9288554077 |
| Fax Number | 9288555470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Marquis J Gwenna |
| Credentials | CLS(NCA) |
| Telephone Number | 9288554077 |
NPI Number Detail
| NPI Number | 1558348151 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1951 Mesquite Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864035746 |
| Phone Number | 9288554077 |
| Fax Number | 9288555470 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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What is the unique 10-digit identification code assigned to Lake Havasu Medical Laboratory,Ltd. by the Centers for Medicare & Medicaid Services?
The Lake Havasu Medical Laboratory,Ltd. has been issued the NPI (National Provider Identifier) 1558348151, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lake Havasu Medical Laboratory,Ltd.'s physical address?
The Lake Havasu Medical Laboratory,Ltd. is physically located at 1951 Mesquite Ave, in the city of Lake Havasu City, AZ, with the postal code 864035746.
What is Lake Havasu Medical Laboratory,Ltd.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake Havasu Medical Laboratory,Ltd. is Clinical Medical Laboratory, and the taxonomy classification code that categorizes this area of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558348151 to Lake Havasu Medical Laboratory,Ltd.?
The Centers for Medicare & Medicaid Services originally issued the 1558348151 to Lake Havasu Medical Laboratory,Ltd. on 2005-12-27.
When was the Lake Havasu Medical Laboratory,Ltd.'s information last updated?
The Lake Havasu Medical Laboratory,Ltd.'s information was last updated on 2020-08-22.