Community Bridges, INC

NPI #1740546985 in Casa Grande, Arizona

Provider Information

NPI Number
1740546985
Entity Type
Organization
Organization Name
Community Bridges, INC
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY BRIDGES, INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 2, 2012
Last Updated
Apr 2, 2012

Practice Location

Address
675 E COTTONWOOD LN
Address 2
SUITE 104
State
Arizona
ZIP Code
85122-2032
Phone
(520) 426-0088

Authorized Official

Name
JOHN HOGEBOOM, LISAC
Title
VP/COO
Phone
(480) 831-7566

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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