Organization
YVETTE COMPREHENSIVE LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAWN Y BRYANT RN (ADMINISTRATOR,CEO)
(702) 557-0050
Entity
Organization
Contact information
Practice address
1114 W MCDOWELL RD, PHOENIX, AZ 85007-1748
(602) 334-1041
(602) 825-1325
Mailing address
1114 W MCDOWELL RD, PHOENIX, AZ 85007-1748
(602) 334-1041
(602) 825-1325
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
11/10/2023
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