Healthcare Provider Details

I. General information

NPI: 1578492989
Provider Name (Legal Business Name): UNICARE LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W ELLIOT RD STE 101
TEMPE AZ
85284-1311
US

IV. Provider business mailing address

51 W ELLIOT RD STE 101
TEMPE AZ
85284-1311
US

V. Phone/Fax

Practice location:
  • Phone: 254-749-7016
  • Fax:
Mailing address:
  • Phone: 254-749-7016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KHAJA PASHA
Title or Position: OWNER
Credential:
Phone: 254-749-7016