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

Southwest Skin Laboratory PLLC

Organization Clinical Medical Laboratory · NPI 1124386966

Southwest Skin Laboratory PLLC is a Clinical Medical Laboratory in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1684 E Boston St Ste 105
Gilbert, AZ 85295-6219
Phone: (480) 855-0085
Fax: (480) 855-0086
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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 · Licence 03D2046062 (AZ)

Record details

NPI number1124386966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Woods — Owner · (480) 855-0085
NPI enumeratedApril 30, 2012
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address1688 E Boston St Ste 101, Gilbert, AZ 85295-6222

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