1 Source Labs And Medical Services LLC
Point of Service in Phoenix, Arizona
1730708017- Practice location
- 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824
- Phone
- 623-261-1716
- Fax
- 623-321-1569
- Last updated
- April 16, 2020
1 Source Labs And Medical Services LLC is a healthcare organization based in Phoenix, AZ. The NPI number for 1 Source Labs And Medical Services LLC is 1730708017. The current practice location address is 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824 and the office can be reached by phone at 623-261-1716 and by fax at 623-321-1569. The NPI was assigned on April 16, 2020 and the record was last updated in NPPES on April 16, 2020.
●Provider Profile Details
- NPI Number
- 1730708017
- Provider Name
- 1 Source Labs And Medical Services LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Point of Service · 305S00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Manuel Enrique Salgado · Ceo · 623-261-1716
- Enumeration Date
- April 16, 2020
- Last Update Date
- April 16, 2020
- Certification Date
- April 16, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2440 W Mission Ln Ste 5
Phoenix, AZ 85021-2824 - City
- Phoenix
- State
- Arizona
- ZIP
- 85021-2824
- Country
- US
- Phone Number
- 623-261-1716
- Fax Number
- 623-321-1569
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Point of Service | 305S00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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 at npiregistry.cms.hhs.gov.