Provider Demographics
NPI:1700477841
Name:TESTING2U
Entity Type:Organization
Organization Name:TESTING2U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN BSN- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:480-717-7160
Mailing Address - Street 1:3501 E AMBER LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1840
Mailing Address - Country:US
Mailing Address - Phone:480-717-7160
Mailing Address - Fax:
Practice Address - Street 1:3501 E AMBER LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-1840
Practice Address - Country:US
Practice Address - Phone:480-717-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service