Organization
CIGNA HEALTHCARE OF ARIZONA, INC.
Active
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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