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

East Valley Diagnostics LLC

Organization Clinical Medical Laboratory · NPI 1104615673

East Valley Diagnostics LLC is a Clinical Medical Laboratory in Mesa, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2509 S Power Rd Ste 105
Mesa, AZ 85209-6696
Phone: (623) 624-7420
Fax: (623) 624-7409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1104615673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Gabbard — Ceo · (623) 624-7420
NPI enumeratedMay 2, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address2509 S Power Rd Ste 105, Mesa, AZ 85209-6696

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