Organization
ARIZONA PHYSICIAN'S LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE DONKERBROOK (CIO)
(602) 492-8388
Entity
Organization
Contact information
Practice address
690 E WARNER RD STE 131, GILBERT, AZ 85296-3057
(602) 492-8388
Mailing address
4801 S LAKESHORE DR STE 106, TEMPE, AZ 85282-7156
(602) 492-8388
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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