Organization
220 LAB GROUP LLC
Active
Organization
220 LAB GROUP LLC
Active
Other names
Advanced Diagnostic Labs
Organization subpart
No
Provider details
NPI number
Authorized official
JOE EMIL JOSEPH SCHMIDT (PRESIDENT)
(623) 234-9446
Entity
Organization
Contact information
Practice address
22505 N 19TH AVE, PHOENIX, AZ 85027-2161
(623) 234-9446
(623) 234-9448
Mailing address
22505 N 19TH AVE, PHOENIX, AZ 85027-2161
(623) 234-9446
(623) 234-9448
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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