Grand Canyon Lab LLC
Grand Canyon Lab LLC is a Clinical Medical Laboratory in Phoenix, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4141 N 32nd St Ste 102Phoenix, AZ 85018-4775
Phone: (857) 247-8763
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1134814874 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theo Rukundo — Managing Director · (857) 247-8763 |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 8, 2023 |
| Mailing address | 4141 N 32nd St Ste 102, Phoenix, AZ 85018-4775 |
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