Organization
PHOENIX LAB & ANCILLARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA SPIEGEL (ADMINISTRATOR)
(602) 831-4320
Entity
Organization
Contact information
Practice address
702 E BELL RD STE 112, PHOENIX, AZ 85022-6639
(602) 603-2282
(602) 603-2283
Mailing address
14251 N 6TH PL, PHOENIX, AZ 85022-4224
(602) 831-4320
(602) 603-2283
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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