# TAACH PATHOLOGY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114996667
- **Authorized official:** MR. HENRY DAVID KHACHATURIAN (BUSINESS MANAGER)
- **Authorized official phone:** (480) 922-4923

## Contact information

- **Practice address:** 15612 N 32ND ST, STE. \#3, PHOENIX, AZ 85032-3859
- **Practice address phone:** (602) 251-8052
- **Practice address fax:** (602) 251-8068
- **Mailing address:** 6501 E. GREENWAY PKWY., \#103-447, SCOTTSDALE, AZ 85254
- **Mailing address phone:** (480) 922-4923
- **Mailing address fax:** (480) 922-4924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 03D1074399 CLIA | AZ | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 13453 STATE LICENSE | AZ | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 11/03/2016