Organization
SONORA QUEST LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT NAMEY CFO (CHIEF FINANCIAL OFFICER)
(602) 685-5000
Entity
Organization
Contact information
Practice address
1300 N 12TH ST STE 503, PHOENIX, AZ 85006-2849
(602) 239-2133
Mailing address
PO BOX 67150, PHOENIX, AZ 85082-7150
(602) 685-5000
(602) 685-5903
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03D0994364
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452152
—
AZ
Enumeration date
10/06/2006
Last updated
08/31/2016
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