| NPI | 1568068609 |
|---|---|
| Doing Business As | CERTIFIED LAB SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A WALLACE Owner/ Operator 480-685-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 305S00000X Point of Service | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-12-04 |