GRAND CANYON LAB LLC

PHOENIX, AZ
NPI1134814874
Entity TypeOrganization
Authorized ContactTHEO BLAISE RUKUNDO
Managing Director
857-247-8763
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
GRAND CANYON LAB LLC
4141 N 32ND ST STE 102
PHOENIX, AZ 85018-4775
Phone number: 857-247-8763
Mailing Address
GRAND CANYON LAB LLC
4141 N 32ND ST STE 102
PHOENIX, AZ 85018-4775
Phone number: 857-247-8763
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