Organization
THERMA-SCAN REFERENCE LABORATORY, LLC
Active
Organization
THERMA-SCAN REFERENCE LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP PAUL HOEKSTRA III PHD (LABORATORY DIRECTOR)
(602) 603-0749
Entity
Organization
Contact information
Practice address
6239 E BROWN RD STE 101, MESA, AZ 85205-4933
(602) 603-0749
Mailing address
6239 E BROWN RD STE 101, MESA, AZ 85205-4933
(602) 603-0749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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