Active NPIOrganization

1 Source Labs And Medical Services LLC

Point of Service in Phoenix, Arizona

NPI Number1730708017
Practice location
2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824
Fax
623-321-1569
Last updated
April 16, 2020

1 Source Labs And Medical Services LLC is a healthcare organization based in Phoenix, AZ. 1 Source Labs And Medical Services LLC practices in Phoenix, AZ. The NPI Number for 1 Source Labs And Medical Services LLC is 1730708017. The current practice location address for 1 Source Labs And Medical Services LLC is 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824 and can be reached out via phone at 623-261-1716 and via fax at 623-321-1569.

Provider Profile Details

NPI Number
1730708017
Provider Name
1 Source Labs And Medical Services LLC
Provider Entity Type
Organization
Address
2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824
Phone Number
623-261-1716
Fax Number
623-321-1569
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. Manuel Enrique Salgado · Ceo · 623-261-1716
Provider Enumeration Date
April 16, 2020
Last Update Date
April 16, 2020
Certification Date
April 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2440 W Mission Ln Ste 5
Phoenix, AZ 85021-2824
State
Arizona
Zip
85021-2824
Phone Number
623-261-1716
Fax Number
623-321-1569
Phoenix, AZ 85021Get directions →

Provider Business Mailing Address Details

Address
2440 W Mission Ln Ste 5
Phoenix, AZ 85021-2824
City
Phoenix
State
AZ
Zip
85021-2824
Phone Number
623-261-1716
Fax Number
623-321-1569

License Information

Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 1 Source Labs And Medical Services LLC?

The NPI number of 1 Source Labs And Medical Services LLC is 1730708017. It was assigned on April 16, 2020 and is currently active in the NPPES registry.

What is the specialty of 1 Source Labs And Medical Services LLC?

1 Source Labs And Medical Services LLC is registered under the primary taxonomy Point of Service (code 305S00000X).

Where does 1 Source Labs And Medical Services LLC practice?

The practice location is 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824. The office can be reached at 623-261-1716 (phone) or 623-321-1569 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730708017 directly on the NPPES registry website.

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