Organization
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Active
Organization
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Active
Parent organization
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Authorized official
CORINNE VELASQUEZ (CLINICAL ADMINISTRATOR)
(602) 506-6657
Entity
Organization
Contact information
Practice address
1645 E ROOSEVELT STREET, PHOENIX, AZ 85006
(602) 506-6997
(602) 372-0342
Mailing address
1645 E. ROOSEVELT STREET, PHOENIX, AZ 85006
(602) 506-6997
(602) 372-0342
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
AZ016
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099267
—
AZ
Enumeration date
08/13/2012
Last updated
08/13/2012
Update your record
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