Provider Demographics
NPI:1114011806
Name:SLIDE PROCESSING & REFERRAL LAB.,INC.
Entity Type:Organization
Organization Name:SLIDE PROCESSING & REFERRAL LAB.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORDILLIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARREDONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-263-1101
Mailing Address - Street 1:1606 E CATALINA DR # 4
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-263-1101
Mailing Address - Fax:602-294-9018
Practice Address - Street 1:1606 E CATALINA DR # 4
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-263-1101
Practice Address - Fax:602-294-9018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ042908OtherBCBS ARIZONA
AZAZ042908OtherBCBS ARIZONA