OrganizationActive
Community Bridges, Inc
NPI 1760748909 · Clinical Medical Laboratory · Mesa, AZ
Provider details
- NPI number
- 1760748909
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Community Bridges, Inc
- Authorized official
- John Hogeboom, Vp/Coo
- License
- 03D2036549 (AZ)
Practice location
358 E Javelina Ave
Suite 101
Mesa, AZ 85210-6205
Phone: (480) 507-3180
Mailing address
1855 W Baseline Rd
Mesa, AZ 85202-9000
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.