Organization
MISSION LABORATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON LAZATIN (PRESIDENT)
(949) 233-5491
Entity
Organization
Contact information
Practice address
4400 N SCOTTSDALE RD, STE 9-311, SCOTTSDALE, AZ 85251-3331
(949) 233-5491
(951) 384-2820
Mailing address
4400 N SCOTTSDALE RD, STE 9-311, SCOTTSDALE, AZ 85251-3331
(949) 233-5491
(951) 384-2820
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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