Organization
LIVERLAB INC
Active
Other names
The LiverLab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUDNALL (PRESIDENT)
(480) 386-7030
Entity
Organization
Contact information
Practice address
6991 E CAMELBACK RD, STE D-300, SCOTTSDALE, AZ 85251-2432
(480) 386-7030
Mailing address
6991 E CAMELBACK RD, STE D-300, SCOTTSDALE, AZ 85251-2432
(480) 386-7030
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949081
—
AZ
Enumeration date
07/09/2014
Last updated
05/25/2016
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