Organization
ADVANCED DIAGNOSTIC LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAAVAYNA RAJU M.D. (OWNER)
(602) 889-9880
Entity
Organization
Contact information
Practice address
3330 N 2ND ST, SUITE 200, PHOENIX, AZ 85012-2368
(602) 889-9880
(480) 304-9328
Mailing address
PO BOX 36395, PHOENIX, AZ 85067-6395
(602) 889-9880
(480) 304-9328
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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