Provider Demographics
NPI:1932983954
Name:VERITAS LABORATORY
Entity Type:Organization
Organization Name:VERITAS LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-504-7041
Mailing Address - Street 1:8535 E HARTFORD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5443
Mailing Address - Country:US
Mailing Address - Phone:480-865-1146
Mailing Address - Fax:480-865-1146
Practice Address - Street 1:8535 E HARTFORD DR STE 104
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5443
Practice Address - Country:US
Practice Address - Phone:480-865-1146
Practice Address - Fax:480-865-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory