Organization
VACC LABORATORIES, LLC
Active
Organization
VACC LABORATORIES, LLC
Active
Other names
VACC Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E CORNWELL TS (TECHNICAL SUPERVISOR)
(801) 808-1191
Entity
Organization
Contact information
Practice address
4582 N 1ST AVE STE 190, TUCSON, AZ 85718-8604
(520) 501-9100
Mailing address
2431 W FOSTORIA PL, TUCSON, AZ 85742-9450
(801) 808-1191
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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