Provider Demographics
NPI:1770952962
Name:NPPN MEDICAL LABORATORY
Entity type:Organization
Organization Name:NPPN MEDICAL LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL ASISTANT
Authorized Official - Phone:480-593-9192
Mailing Address - Street 1:4306 N 180TH DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395
Mailing Address - Country:US
Mailing Address - Phone:480-593-9192
Mailing Address - Fax:623-936-7374
Practice Address - Street 1:4306 N 180TH DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395
Practice Address - Country:US
Practice Address - Phone:480-593-9192
Practice Address - Fax:623-936-7374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory