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NPI 1730708017

OrganizationActive

1 Source Labs and Medical Services LLC

NPI 1730708017 · Point of Service · Phoenix, AZ

Provider details

NPI number: 1730708017
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Manuel Salgado, Ceo

Practice location

2440 W Mission Ln Ste 5

Phoenix, AZ 85021-2824

Phone: (623) 261-1716

Fax: (623) 321-1569

More AZ providers

Mailing address

2440 W Mission Ln Ste 5

Phoenix, AZ 85021-2824

Registry dates

Enumerated: 2020-04-16
Last updated: 2020-04-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1 Source Labs and Medical Services LLC — NPI 1730708017, Phoenix, AZ | NPI Central