NPI 1982093076

San Tan Mobile Diagnostics LLC

Organisation Physiological Laboratory Mesa, AZ

Practice location

Address: 1457 W Southern Ave Suite 24, Mesa, AZ 85202-4813
Phone: (928) 362-0979
Fax: (480) 999-5641

Authorised official

Name: Garrett Lubben
Title: President
Phone: (928) 362-0979

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Arizona →

Registry record

NPI: 1982093076
Entity type: Organization
NPI issued: 13 Jan 2015
Record last updated: 13 Jan 2015

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.