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Contact Information

YVETTE COMPREHENSIVE LABORATORY
1114 W MCDOWELL RD
PHOENIX, AZ85007-1748
 Phone: 602-334-1041
 Fax: 602-825-1325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for YVETTE COMPREHENSIVE LABORATORY

NPI # 1144008624
LBN Legal business name YVETTE COMPREHENSIVE LABORATORY
Authorized official DESHAWN BRYANT - (ADMINISTRATOR,CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2023
Last updated 11/10/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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