Organization
SAGUARO BLOOM DIAGNOSTICS LLC
Active
Organization
SAGUARO BLOOM DIAGNOSTICS LLC
Active
Parent organization
SAGUARO HEALTH & SECURITY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAGUARO HEALTH & SECURITY LLC
Authorized official
DR. JESSE GREER MD (MEDICAL DIRECTOR)
(480) 737-3477
Entity
Organization
Contact information
Practice address
3308 N HAYDEN RD STE 103-105, SCOTTSDALE, AZ 85251-6627
(480) 737-3477
Mailing address
PO BOX 1240, SCOTTSDALE, AZ 85252-1240
(480) 737-3477
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2188271
CLIA NUMBER
AZ
Enumeration date
07/21/2020
Last updated
07/25/2022
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