Organization
BEECHTREE DIAGNOSTICS LLP
Active
Parent organization
BEECHTREE DIAGNOSTICS LLP
Other names
BEECHTREE DIAGNOSTICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEECHTREE DIAGNOSTICS LLP
Authorized official
MATTHEW SEAMAN-HYATT CHAMBERS MHA (CHIEF EXECUTIVE OFFICER)
(801) 893-2773
Entity
Organization
Contact information
Practice address
41818 N VENTURE DR STE 150, ANTHEM, AZ 85086-3190
(602) 881-7810
Mailing address
PO BOX 35146, SEATTLE, WA 98124-5146
(801) 893-2773
(801) 683-9907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46D2103212
CLIA
UT
Enumeration date
02/22/2019
Last updated
09/22/2021
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