San Tan Mobile Diagnostics LLC

NPI #1982093076 in Mesa, Arizona

Provider Information

NPI Number: 1982093076
Entity Type: Organization
Organization Name: San Tan Mobile Diagnostics LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Jan 13, 2015
Last Updated: Jan 13, 2015

Practice Location

Address: 1457 W SOUTHERN AVE
Address 2: SUITE 24
City: Mesa
State: Arizona
ZIP Code: 85202-4813
Phone: (928) 362-0979

Authorized Official

Name: GARRETT LUBBEN
Title: PRESIDENT
Phone: (928) 362-0979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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