Organization
COLECTIVO LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH TRUAX (PRESIDENT / CEO)
(480) 529-3859
Entity
Organization
Contact information
Practice address
10385 E DREYFUS AVE, SCOTTSDALE, AZ 85260-7287
(480) 529-3859
Mailing address
10385 E DREYFUS AVE, SCOTTSDALE, AZ 85260-7287
(480) 529-3859
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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