Tiburon Diagnostic Laboratory

LBN: Annie Mae
Tiburon Diagnostic Laboratory is an health care organization with primary practice located at 802 E 16Th Street , Tucson AZ 85719. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Annie Mae can be contacted via phone (520) 884-1094, or through Patrick, C W via phone (520) 884-1094.

Contact Information

Primary practice address
802 E 16Th Street Tucson AZ 85719
Phone: (520) 884-1094
Fax: (520) 884-1147
Website:
Map and Directions
Authorized official contact:
Name: Patrick, C W
Phone: (520) 884-1094

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1326108408
LBN Legal business name Annie Mae
DBA Doing business as Tiburon Diagnostic Laboratory
Authorized official Patrick, C W
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326108408 NPPES
Arizona MEDICAID 484999

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