OrganizationActive
Community Bridges, Inc
NPI 1588920714 · Clinical Medical Laboratory · Benson, AZ
Provider details
- NPI number
- 1588920714
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Community Bridges, Inc
- Organization subpart
- Yes
- Authorized official
- John Hogeboom, Vp/Coo(480) 831-7566
- License
- 03D2036401 (AZ)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
732 W 4th St
Benson, AZ 85602-6435
Phone: (520) 586-4691
Street-level locationGet directions
Mailing address
1855 W Baseline Rd
Mesa, AZ 85202-9000
Other names (DBA / former)
- Doing business as
- Benson Outpt Service Center
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2012-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.