Certified Laboratory Services

LBN: Certified Laboratory Services
Certified Laboratory Services is an health care organization with primary practice located at 2041 E 3Rd Dr , Mesa AZ 85204-1401. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Certified Laboratory Services can be contacted via phone (480) 685-7530, or through Wallace, Jennifer via phone (480) 685-7530.

Contact Information

Primary practice address
2041 E 3Rd Dr Mesa AZ 85204-1401
Phone: (480) 685-7530
Fax: (480) 900-8853
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Jennifer
Phone: (480) 685-7530

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1568068609
LBN Legal business name Certified Laboratory Services
DBA Doing business as
Authorized official Wallace, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568068609 NPPES
Arizona Other 03D2197602 US DEPT OF HEALTH AND HUMAN SERVICES

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