Organization
MEND TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE BOYD MBA (CHIEF REVENUE OFFICER)
(623) 385-2288
Entity
Organization
Contact information
Practice address
1978 E SUNBURST LN, TEMPE, AZ 85284-1761
(623) 385-2288
Mailing address
4045 W BELL RD APT 1008, PHOENIX, AZ 85053-2735
(623) 385-2288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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