Organization
WEST COAST PATHOLOGY LABORATORY OF AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COMPAGNO M.D (LABORATORY DIRECTOR)
(800) 794-9737
Entity
Organization
Contact information
Practice address
712 ALFRED NOBEL DR, HERCULES, CA 94547-1805
(800) 794-9737
(510) 662-5244
Mailing address
7200 W BELL RD, BLDG E-103, GLENDALE, AZ 85308
(800) 794-9737
(510) 662-5244
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20624606A
AZ
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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