Organization
ARIZONA BUSINESS & CAREER DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MALLARI NCPT4, CPI, BHT (MANAGER)
(602) 888-7191
Entity
Organization
Contact information
Practice address
3418 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5113
(602) 888-7191
Mailing address
3609 S 52ND DR, PHOENIX, AZ 85043-1771
(602) 888-7191
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2046159
CLIA ID
—
Enumeration date
10/12/2012
Last updated
10/12/2012
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