Organization
ID LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK GLIMCHER (OWNER)
(480) 674-6565
Entity
Organization
Contact information
Practice address
7859 WALNUT HILL LN STE 320, DALLAS, TX 75230-5635
(480) 674-6565
Mailing address
14500 N NORTHSIGHT BLVD STE 100, SCOTTSDALE, AZ 85260-3659
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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