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1679337802
WATERFORD DX LLC
PHOENIX, AZ
NPI
1679337802
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Entity Type
Organization
Authorized Contact
MRITTUNJAI SRIVASTAVA
Owner
850-339-0637
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
WATERFORD DX LLC
3440 N 16TH ST STE 100
PHOENIX, AZ 85016-7125
Phone number: 602-774-2097
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Mailing Address
WATERFORD DX LLC
3440 N 16TH ST STE 100
PHOENIX, AZ 85016-7125
Phone number: 602-774-2097
Copy
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