Organization
RENAISSANCE DX LLC
Active
Organization
RENAISSANCE DX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RONDA (GENERAL MANAGER)
(480) 221-5681
Entity
Organization
Contact information
Practice address
9830 S 51ST ST STE A124, PHOENIX, AZ 85044-5672
(480) 608-1730
Mailing address
9830 S 51ST ST STE A124, PHOENIX, AZ 85044-5672
(480) 608-1730
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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