Healthcare Provider Details

I. General information

NPI: 1366440760
Provider Name (Legal Business Name): RAPIDVET HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3252 S FAIR LN
TEMPE AZ
85282-3120
US

IV. Provider business mailing address

2 DARTS MILL RD
FLEMINGTON NJ
08822-7090
US

V. Phone/Fax

Practice location:
  • Phone: 602-437-1003
  • Fax: 602-437-1335
Mailing address:
  • Phone: 908-782-3353
  • Fax: 888-846-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS A GALLO
Title or Position: PRESIDENT
Credential:
Phone: 602-437-1003