Provider Demographics
NPI:1376362152
Name:THE UNIVERSITY OF ARIZONA
Entity type:Organization
Organization Name:THE UNIVERSITY OF ARIZONA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUBITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-626-9807
Mailing Address - Street 1:1501 N CAMPBELL AVE RM 4352
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-9807
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE RM 4354
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-9807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE UNIVERSITY OF ARIZONA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-08
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory