Healthcare Provider Details

I. General information

NPI: 1356024657
Provider Name (Legal Business Name): RAPID TEST LABORATORIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 E COLFAX AVE # B102
DENVER CO
80218-2238
US

IV. Provider business mailing address

5320 N 16TH ST STE 107
PHOENIX AZ
85016-3241
US

V. Phone/Fax

Practice location:
  • Phone: 480-500-8065
  • Fax: 480-500-8065
Mailing address:
  • Phone: 480-500-8065
  • Fax: 602-296-0405

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: WENDY BRYANT
Title or Position: COO
Credential:
Phone: 480-500-8065