Organization
KEMPTON & NELSON DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ERIC CARRERA (MANAGING MEMBER)
(480) 964-4242
Entity
Organization
Contact information
Practice address
4852 E BASELINE RD, SUITE 109, MESA, AZ 85206-4627
(480) 610-6400
(480) 964-4455
Mailing address
4852 E BASELINE RD, SUITE 109, MESA, AZ 85206-4627
(480) 610-6400
(480) 964-4455
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
OTC5108
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862872
—
AZ
Enumeration date
08/24/2005
Last updated
03/24/2016
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