Organization
ARIZONA DIAGNOSTIC LABS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS DOLAN (MEMBER)
(928) 910-9608
Entity
Organization
Contact information
Practice address
919 12TH PL STE 14, PRESCOTT, AZ 86305-1433
(928) 910-9608
(928) 227-2968
Mailing address
919 12TH PL STE 14, PRESCOTT, AZ 86305-1433
(928) 910-9608
(928) 227-2968
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
AZ
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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