NPI 1053595751

Provista Health, LLC

Organisation Clinical Medical Laboratory Scottsdale, AZ

Practice location

Address: 17301 N Perimeter Dr Suite 100, Scottsdale, AZ 85255-5468
Phone: (602) 224-5500

Authorised official

Name: Tarun Jolly
Title: Owner
Phone: (504) 236-4030

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 03D1063366 (AZ)

Other Clinical Medical Laboratory providers in Arizona →

Registry record

NPI: 1053595751
Entity type: Organization
NPI issued: 18 Dec 2007
Record last updated: 13 Sep 2019

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.