Organization
DESERT CRYOBANK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJATHA GUNNALA M.D. (LABORATORY DIRECTOR)
(602) 956-7481
Entity
Organization
Contact information
Practice address
3125 N 32ND ST, SUITE 250, PHOENIX, AZ 85018-6281
(602) 956-7481
(602) 956-7591
Mailing address
3125 N 32ND ST, SUITE 250, PHOENIX, AZ 85018-6281
(602) 956-7481
(602) 956-7591
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
11933
AZ
291U00000X
Clinical Medical Laboratory
Primary
11933
AZ
Other
Enumeration date
01/22/2008
Last updated
04/10/2008
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