Organization
EAST VALLEY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE GABBARD (CEO)
(623) 624-7420
Entity
Organization
Contact information
Practice address
2509 S POWER RD STE 105, MESA, AZ 85209-6696
(623) 624-7420
(623) 624-7409
Mailing address
2509 S POWER RD STE 105, MESA, AZ 85209-6696
(623) 624-7420
(623) 624-7409
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
11/03/2025
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