Provider Demographics
NPI:1184498545
Name:EXPRESSCARE LABS LLC
Entity type:Organization
Organization Name:EXPRESSCARE LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIGHT
Authorized Official - Middle Name:
Authorized Official - Last Name:TURAKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:575-621-0582
Mailing Address - Street 1:21021 N 56TH ST APT 3089
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5609
Mailing Address - Country:US
Mailing Address - Phone:575-621-0582
Mailing Address - Fax:
Practice Address - Street 1:2525 W GREENWAY RD STE 225
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-4226
Practice Address - Country:US
Practice Address - Phone:480-525-0385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No293D00000XLaboratoriesPhysiological Laboratory