Organization
TREATMENT ASSESSMENT SCREENING CENTER, INC
Active
Organization
TREATMENT ASSESSMENT SCREENING CENTER, INC
Active
Other names
TASC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L MITCHELL (CHIEF FINANCIAL OFFICER)
(602) 417-2204
Entity
Organization
Contact information
Practice address
4016 N BLACK CANYON HWY, PHOENIX, AZ 85017-4730
(602) 254-7328
(602) 255-0851
Mailing address
4016 N BLACK CANYON HWY, PHOENIX, AZ 85017-4730
(602) 254-7328
(602) 255-0851
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3201701
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z195280
MEDICARE PTAN
AZ
Enumeration date
01/25/2017
Last updated
03/09/2017
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