Organization · NPI-2

Advanced Clinical Services, LLC

General Practice · Tempe, AZ

NPI number1437501400
StatusActive
Last updated in NPPESApr 28, 2017

Details

NPI
1437501400
Entity type
Organization (NPI-2)
Legal business name
Advanced Clinical Services, LLC
Organization subpart
No
Enumeration date
Jul 1, 2016
Last updated
Apr 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice29610AZYes

Practice location

40 W Baseline Rd
Suite #105
Tempe, AZ 85283-1258

Phone 480-398-5555

Mailing address

40 W Baseline Rd
Suite #105
Tempe, AZ 85283-1258

Phone 480-588-5102

Authorized official

John W. Rittenour
Managing Partner Authorized Officia
4804942466

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