Provider Demographics
NPI:1164080263
Name:HONORHEALTH ASC PATHOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:HONORHEALTH ASC PATHOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-207-3716
Mailing Address - Street 1:3033 N 44TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7244
Mailing Address - Country:US
Mailing Address - Phone:480-207-3716
Mailing Address - Fax:
Practice Address - Street 1:3033 N 44TH ST STE 200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7244
Practice Address - Country:US
Practice Address - Phone:480-207-3716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty