Copper State Laboratory Services

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Legal business name

COPPER STATE LABORATORY SERVICES

Practice address

2450 W Broadway Rd Ste 120
Mesa, AZ 85202-1072

Phone

(480) 621-8517

NPI assigned

Jan 14, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Richardson, PSM

Title

Principal

Phone

(480) 621-8517

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1316805690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W BROADWAY RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W BROADWAY RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021072",
            "telephone_number": "480-621-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER STATE LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "480-621-8517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSM"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Copper Village (Legacy Senior Management LLC)
• Mark Coppers, LPC
• Robert J. Coppola, DO
• Sofia Rita Coracides, PHARMD

• Pathology Specialist/Technologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pathology Specialist/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.