Waterford Dx Llc

LBN: Waterford Dx Llc
Waterford Dx Llc is an health care organization with primary practice located at 3440 N 16Th St Ste 100 , Phoenix AZ 85016-7125. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Waterford Dx Llc can be contacted via phone (602) 774-2097, or through Srivastava, Mrittunjai via phone (850) 339-0637.

Contact Information

Primary practice address
3440 N 16Th St Ste 100 Phoenix AZ 85016-7125
Phone: (602) 774-2097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Srivastava, Mrittunjai PH.D.
Phone: (850) 339-0637

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1679337802
LBN Legal business name Waterford Dx Llc
DBA Doing business as
Authorized official Srivastava, Mrittunjai PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2024
Last updated Feb 8th, 2024 - about 2 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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