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COPPER STATE LABORATORY SERVICES
NPI 1316805690
Specialist/Technologist, Pathology - Laboratory Management in Mesa, AZ

Active since January 14, 2026
2450 W BROADWAY RD STE 120, MESA, AZ 85202(480) 621-8517 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2026, Jan 14, 2026 (2 updates tracked since 2026).

About Copper State Laboratory Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER STATE LABORATORY SERVICES (NPI 1316805690) is a healthcare organization registered as a laboratory management in Mesa, Arizona and active in the NPI registry since January 2026. The organization lists David Richardson, Principal, as its authorized official.

NPPES Registry Identity

NPI1316805690
Entity TypeOrganization
Primary Taxonomy246QL0900X
Legal Business NameCOPPER STATE LABORATORY SERVICES
Location Address2450 W BROADWAY RD STE 120Mesa, AZ 85202-1072
Mailing Address2450 W Broadway Rd Ste 120Mesa, AZ 85202-1072
Phone(480) 621-8517
Organization SubpartNo
Authorized OfficialDavid RichardsonPrincipal · (480) 621-8517
Enumeration DateJanuary 14, 2026
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1316805690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
2450 W BROADWAY RD STE 120, Mesa, AZ 85202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEMELLI BIOTECH CORP.
Clinical Medical Laboratory
2450 W BROADWAY RD STE 120
MESA, AZ 85202
Maricopa County (855) 888-1230

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 Copper State Laboratory Services's NPI number?

The NPI number for Copper State Laboratory Services is 1316805690. It was assigned to this organization in the NPPES registry on January 14, 2026.

Where is Copper State Laboratory Services located?

Copper State Laboratory Services is located at 2450 W Broadway Rd Ste 120, Mesa, AZ 85202. The listed phone number is (480) 621-8517.

What is Copper State Laboratory Services's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Copper State Laboratory Services was last updated on January 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.