Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
CommonSpirit Reference Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
JEFFREY JACKSON (CHIEF FINANCIAL OFFICER)
(461) 860-2406
Entity
Organization
Contact information
Practice address
19001 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85255-9679
(602) 217-1989
(602) 294-5388
Mailing address
19001 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85255-9679
(602) 217-1989
(602) 294-5388
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDS-90001632
CA STATE LABORATORY LICENSE
CA
Enumeration date
11/03/2021
Last updated
11/03/2021
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