Provider Demographics
NPI:1508482530
Name:CREATIVE TESTING SOLUTIONS
Entity Type:Organization
Organization Name:CREATIVE TESTING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGLIOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-343-7011
Mailing Address - Street 1:2424 W ERIE DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3113
Mailing Address - Country:US
Mailing Address - Phone:602-343-7011
Mailing Address - Fax:
Practice Address - Street 1:10100 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-3806
Practice Address - Country:US
Practice Address - Phone:888-568-5992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory