Organization
DBW DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA SMITH (BUSINESS MANAGER)
(719) 581-9252
Entity
Organization
Contact information
Practice address
2414 W SIERRA ST, PHOENIX, AZ 85029-3425
(719) 581-9252
(928) 255-4817
Mailing address
2414 W SIERRA ST, PHOENIX, AZ 85029-3425
(719) 581-9252
(928) 255-4817
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1134373
AZ
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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