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MAGGIES LAB CAB LLC NPI 1598425076


NPI Information

NPI: 1598425076
Provider Name: MAGGIES LAB CAB, LLC
Classification: Pathology - 207ZP0105X
Entity Type: Organization

Specialization: Clinical Pathology/Laboratory Medicine

CLIA Number: 03D2185281

Address:
60 ACOMA BLVD S STE A100
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 486-3989
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MAGGIES LAB CAB, LLC is a clinical pathology/laboratory medicine pathology in Lake Havasu City, AZ. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. MAGGIES LAB CAB, LLC NPI is 1598425076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 ACOMA BLVD S STE A100
LAKE HAVASU CITY, AZ
ZIP 86403-998
Phone: (928) 486-3989

The provider's authorized official is Cassandra Kay Kyer .
The authorized official title is Medical Director and has the following contact phone number (928) 230-5789.

The CLIA number assigned to this NPI record is 03D2185281 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2021 and was last updated on 12/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0105XPathologyClinical Pathology/Laboratory MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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