Organization
KEVIN CONCANNON LLC
Active
Organization
KEVIN CONCANNON LLC
Active
Other names
E. M. Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HAGAN CONCANNON II CEO (OWNER)
(480) 939-4656
Entity
Organization
Contact information
Practice address
15455 N GREENWAY HAYDEN LOOP STE C16, SCOTTSDALE, AZ 85260-1886
(480) 939-4656
(480) 524-1070
Mailing address
15455 N GREENWAY HAYDEN LOOP STE C16, SCOTTSDALE, AZ 85260-1886
(480) 939-4656
(480) 524-1070
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2098042
CLIA
AZ
Enumeration date
04/28/2021
Last updated
04/28/2021
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