Organization
BIG BUS LABS LLC
Active
Other names
Big Bus Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MANIKIA BOYD RN (OWNER/ OPERATOR)
(520) 279-3099
Entity
Organization
Contact information
Practice address
625 W MCKELLIPS RD LOT 170, MESA, AZ 85201-1256
(520) 279-3099
Mailing address
625 W MCKELLIPS RD LOT 170, MESA, AZ 85201-1256
(520) 279-3099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
02/25/2022
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