Whalio Doctors

NPI 1013376151

Az Lab, LLC

Organisation Allergy Physician Tempe, AZ

Practice location

Address
2210 S Mill Ave 8, Tempe, AZ 85282-2153
Phone
(623) 242-0346

Authorised official

Name
Jonna Elaine Demore
Title
Owner
Phone
(623) 242-0346

Registered specialties (3)

Allergy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 4476 (AZ)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4476 (AZ)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 4476 (AZ)

Registry record

NPI
1013376151
Entity type
Organization
NPI issued
17 Feb 2016
Record last updated
17 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.