MEDICARE: LAB EXPRESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1386809051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAB EXPRESS INC

Provider Business Mailing Address
First Line	:	505 W MCDOWELL RD STE A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85003-1259
Country	:	US
Telephone Number	:	602-273-9000
Fax Number	:	602-252-0006

Provider Business Practice Location Address
First Line	:	3305 E GREENWAY RD STE 9
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4509
Country	:	US
Telephone Number	:	602-923-0704
Fax Number	:	602-923-0704

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. SCOTT M FARRELL
Credential	:
Telephone Number	:	602-273-9000

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	10/17/2019

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Directions to “LAB EXPRESS INC ” Practice Location

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