Organization
AZTEC PATHOLOGY LLC
Active
Organization
AZTEC PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHVETA MEHRA MD (PRESIDENT)
(623) 806-1500
Entity
Organization
Contact information
Practice address
5024 S ASH AVE STE 103, TEMPE, AZ 85282-6847
(623) 806-1500
(623) 433-0174
Mailing address
5024 S ASH AVE STE 103, TEMPE, AZ 85282-6847
(623) 806-1500
(623) 433-0174
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550735
—
AZ
01
—
DY0475
MEDICARE RAILROAD PTAN
AZ
Enumeration date
09/23/2010
Last updated
12/23/2025
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