Provista Health, LLC
NPI #1053595751 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1053595751
- Entity Type
- Organization
- Organization Name
- Provista Health, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 18, 2007
- Last Updated
- Sep 13, 2019
Practice Location
- Address
- 17301 N PERIMETER DR
- Address 2
- SUITE 100
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85255-5468
- Phone
- (602) 224-5500
Authorized Official
- Name
- TARUN JOLLY
- Title
- OWNER
- Phone
- (504) 236-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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