Organization
OMNIWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC JABLONSKI (CEO)
(480) 236-4900
Entity
Organization
Contact information
Practice address
4647 E LAREDO LN, CAVE CREEK, AZ 85331-5062
(480) 236-4900
Mailing address
4647 E LAREDO LN, CAVE CREEK, AZ 85331-5062
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/24/2013
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