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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