NPI 1821345752

Community Bridges, INC

Organisation Clinical Medical Laboratory Globe, AZ

Practice location

Address: 5734 East Hope Lane, Globe, AZ 85501
Phone: (928) 425-2415
Fax: (928) 425-2464
Mailing address: 1855 W Baseline Rd Suite 101, Mesa, AZ 85202-9000

Authorised official

Name: John Hogeboom
Title: Vp/Coo
Phone: (480) 831-7566

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 03D2036585 (AZ)

Other Clinical Medical Laboratory providers in Arizona →

Registry record

NPI: 1821345752
Entity type: Organization
NPI issued: 9 Aug 2012
Record last updated: 9 Aug 2012

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.