Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Copper State Laboratory Services

Organization Laboratory Management Specialist/Technologist · NPI 1316805690

Copper State Laboratory Services is a Laboratory Management Specialist/Technologist in Mesa, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2450 W Broadway Rd Ste 120
Mesa, AZ 85202-1072
Phone: (480) 621-8517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0900X

Record details

NPI number1316805690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Richardson — Principal · (480) 621-8517
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address2450 W Broadway Rd Ste 120, Mesa, AZ 85202-1072