Organization
CARONDELET LABORATORY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W BANN (PRESIDENT)
(888) 472-0380
Entity
Organization
Contact information
Practice address
1601 W SAINT MARYS RD, TUCSON, AZ 85745-2623
(888) 472-0380
Mailing address
1660 LAKESIDE DR, STE 466, BULLHEAD CITY, AZ 86442-6544
(888) 472-0380
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03D0914817
AZ
Other
Enumeration date
04/16/2010
Last updated
06/29/2010
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