Organization
SOUTHWEST KIDNEY INSTITUTE, PLC
Active
Organization
SOUTHWEST KIDNEY INSTITUTE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP MEHRA MD (VICE PRESIDENT OF OPERATIONS)
(480) 610-6100
Entity
Organization
Contact information
Practice address
2538 E UNIVERSITY DR, STE 110, PHOENIX, AZ 85034-6917
(480) 969-8714
Mailing address
2149 E WARNER RD, STE 102, TEMPE, AZ 85284-3494
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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