1710322441 NPI number — WEST COAST PATHOLOGY LABORATORY OF AZ

Table of content: (NPI 1710322441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710322441 NPI number — WEST COAST PATHOLOGY LABORATORY OF AZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST COAST PATHOLOGY LABORATORY OF AZ
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710322441
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7200 W BELL RD, BLDG E-103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-794-9737
Provider Business Mailing Address Fax Number:
510-662-5244

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
712 ALFRED NOBEL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HERCULES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94547-1805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-794-9737
Provider Business Practice Location Address Fax Number:
510-662-5244
Provider Enumeration Date:
05/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
COMPAGNO
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
LABORATORY DIRECTOR
Authorized Official Telephone Number:
800-794-9737

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  20624606A , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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