Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
Other names
Health Diagnostics Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ELLIS D.O. (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization
Contact information
Practice address
8826 N 23RD AVE, PHOENIX, AZ 85021-4154
(602) 328-8400
Mailing address
25500 N NORTERRA DR, ATTN: HCFS, PHOENIX, AZ 85085-8200
(602) 328-8400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320911
—
AZ
Enumeration date
08/22/2006
Last updated
01/28/2014
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