Provider Demographics
NPI:1578608535
Name:ARIZONA COMMUNITY PHYSICIANS PC
Entity Type:Organization
Organization Name:ARIZONA COMMUNITY PHYSICIANS PC
Other - Org Name:ACP LABORATORY
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOC DIR OPERATIONS SAFETY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TEREASA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-894-1691
Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:A100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:6565 E CARONDELET DR
Practice Address - Street 2:SUITE 105
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-2157
Practice Address - Country:US
Practice Address - Phone:520-547-3919
Practice Address - Fax:520-547-3922
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA COMMUNITY PHYSICIANS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-20
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory