Arizona State Public Health Laboratory in Phoenix - Clinical Medical Laboratory
Arizona State Public Health Laboratory - NPI 1528180874
Arizona State Public Health Laboratory is a Clinical Medical Laboratory in Phoenix, Arizona. Arizona State Public Health Laboratory practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Arizona State Public Health Laboratory is 1528180874. The last update date is 2021-06-11.
Arizona State Public Health Laboratory's current location address is Po Box 25046, Phoenix, Arizona. You can contact this provider via phone number 6025420897 and fax number 6025420102. The mailing address for Arizona State Public Health Laboratory is Po Box 25046, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona State Public Health Laboratory |
|---|---|
| Address | Po Box 25046, Phoenix, Arizona |
| Phone Number | 6025420897 |
| Fax Number | 6025420102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUREAU CHI |
|---|---|
| Authorized Official Name | Waddell Victor |
| Credentials | PH.D. |
| Telephone Number | 6023640609 |
NPI Number Detail
| NPI Number | 1528180874 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2021-06-11 |
Provider Mailing Address Detail
| Address | Po Box 25046 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850025046 |
| Phone Number | 6025420897 |
| Fax Number | 6025420102 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1Z4231 | AZ | HEALTH NET | |
| 186751 | AZ | AHCCCS | |
| AZ0727710 | AZ | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Arizona State Public Health Laboratory by the Centers for Medicare & Medicaid Services?
The Arizona State Public Health Laboratory has been issued the NPI (National Provider Identifier) 1528180874 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Arizona State Public Health Laboratory?
The Arizona State Public Health Laboratory is physically situated at Po Box 25046, in the city of Phoenix, state of AZ, with the postal code 850025046.
What is Arizona State Public Health Laboratory's specialized field of practice, and what is the corresponding taxonomy classification code?
The Arizona State Public Health Laboratory's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
When was the Arizona State Public Health Laboratory's 1528180874 issued?
The Arizona State Public Health Laboratory's 1528180874 was issued on 2007-04-06.
As of what date were the details related to Arizona State Public Health Laboratory most recently updated or revised?
The information pertaining to Arizona State Public Health Laboratory, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-11.