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Colectivo Laboratories LLC

Pathology, Clinical Pathology in Scottsdale, AZ. Organization (NPI-2).

NPI number1801487830
StatusActive
Last updated in NPPESFeb 2, 2021

Details

NPI
1801487830
Entity type
Organization (NPI-2)
Legal business name
Colectivo Laboratories LLC
Organization subpart
No
Enumeration date
Feb 2, 2021
Certification date
Feb 2, 2021
Last updated
Feb 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZC0006X Pathology, Clinical Pathology––Yes

Practice location

10385 E Dreyfus Ave
Scottsdale, AZ 85260-7287

Phone 480-529-3859

Mailing address

10385 E Dreyfus Ave
Scottsdale, AZ 85260-7287

Phone 480-529-3859

Authorized official

Keith Truax
President / Ceo
4805293859

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