GRAND CANYON LAB LLC
NPI 1134814874
Clinical Medical Laboratory in Phoenix, AZ
About Grand Canyon Lab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND CANYON LAB LLC (NPI 1134814874) is a healthcare organization registered as a clinical medical laboratory in Phoenix, Arizona and active in the NPI registry since April 2023. The organization lists Theo Blaise Rukundo, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grand Canyon Lab LLC's NPI number?
The NPI number for Grand Canyon Lab LLC is 1134814874. It was assigned to this organization in the NPPES registry on April 10, 2023.
Where is Grand Canyon Lab LLC located?
Grand Canyon Lab LLC is located at 4141 N 32nd St Ste 102, Phoenix, AZ 85018. The listed phone number is (857) 247-8763.
What is Grand Canyon Lab LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Grand Canyon Lab LLC was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.