Organization
ARIZONA STATE UNIVERSITY
Active
Parent organization
ARIZONA STATE UNIVERSITY
Other names
Arizona State University BioDesign Clinical Testing Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA STATE UNIVERSITY
Authorized official
HEATHER C. CLARK (EXECUTIVE DIRECTOR)
(480) 727-5594
Entity
Organization
Contact information
Practice address
1001 S MCALLISTER AVE, TEMPE, AZ 85281-2115
(480) 727-8322
Mailing address
1475 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85257-3538
(480) 965-4544
(480) 884-1888
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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