Elite Diagnostics
Clinical Medical Laboratory in Prescott, AZ. Organization (NPI-2).
NPI number1962946624
StatusActive
Last updated in NPPESDec 14, 2016
Details
- NPI
- 1962946624
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Diagnostics
- Organization subpart
- No
- Enumeration date
- Dec 14, 2016
- Last updated
- Dec 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1311 Loren DrPrescott, AZ 86305-2875
Phone 970-690-2768
Mailing address
1311 Loren DrPrescott, AZ 86305-2875
Phone 970-690-2768
Authorized official
Earl McCrea
Owner/Operator
9706902768
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