Provista Health, Llc in Scottsdale - Clinical Medical Laboratory
Provista Health, Llc - NPI 1053595751
Provista Health, Llc is a Clinical Medical Laboratory in Scottsdale, Arizona. Provista Health, Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Provista Health, Llc is 1053595751. The last update date is 2019-09-13.
Provista Health, Llc's current location address is 17301 N Perimeter Dr, Scottsdale, Arizona. You can contact this provider via phone number 6022245500. The mailing address for Provista Health, Llc is 17301 N Perimeter Dr, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provista Health, Llc |
|---|---|
| Address | 17301 N Perimeter Dr, Scottsdale, Arizona |
| Phone Number | 6022245500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jolly Tarun |
| Telephone Number | 5042364030 |
NPI Number Detail
| NPI Number | 1053595751 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2019-09-13 |
Provider Mailing Address Detail
| Address | 17301 N Perimeter Dr |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 852555468 |
| Phone Number | 6022245500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 03D1063366 |
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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 identifier code issued to Provista Health, Llc by the Centers for Medicare & Medicaid Services?
The Provista Health, Llc has been assigned the NPI (National Provider Identifier) 1053595751 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Provista Health, Llc is physically located?
The Provista Health, Llc is situated at the following address: 17301 N Perimeter Dr, Scottsdale, AZ 852555468.
What is Provista Health, Llc'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 Provista Health, Llc is Clinical Medical Laboratory, and the taxonomy classification code that categorizes this area of expertise is 291U00000X.
When was the Provista Health, Llc's 1053595751 issued?
The Provista Health, Llc's 1053595751 was issued on 2007-12-18.
As of what date were the Provista Health, Llc's details last updated?
The information pertaining to the Provista Health, Llc, including its address, specialty, and other details, was most recently updated on 2019-09-13.