Organization
PRIME CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHID SHAMSULHODA KHAN (OWNER)
(213) 582-5482
Entity
Organization
Contact information
Practice address
1501 S YALE ST STE 152, FLAGSTAFF, AZ 86001-7337
(213) 582-5482
(312) 395-7290
Mailing address
1501 S YALE ST STE 152, FLAGSTAFF, AZ 86001-7337
(213) 582-5482
(312) 395-7290
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
06/15/2026
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