Organization
LEWLAB LLC
Active
Other names
Redpoint labs
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS A GOODMAN (OWNER)
(602) 944-0072
Entity
Organization
Contact information
Practice address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-0072
(602) 944-0194
Mailing address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-0072
(602) 944-0194
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2148246
CLIA
AZ
Enumeration date
06/25/2018
Last updated
06/25/2018
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