NPI Code Details Logo

NPI 1578644142

NPI 1578644142 : DIVERSIFIED MEDICAL SOLUTIONS : SCOTTSDALE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578644142
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DIVERSIFIED MEDICAL SOLUTIONS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/18/2006
-----------------------------------------------------
    Last Update Date     |    08/22/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8423 E HUBBELL ST 
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85257-2980
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-586-4302
-----------------------------------------------------
    Fax                  |    480-947-3790
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8423 E HUBBELL ST 
-----------------------------------------------------
    City                 |    SCOTTSDALE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85257-2980
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-586-4302
-----------------------------------------------------
    Fax                  |    480-947-3790
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER
-----------------------------------------------------
    Name                 |    MR. KEVIN E HILL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    480-586-4302
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.