Vacc Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

VACC LABORATORIES, LLC

Practice address

4582 N 1St Ave Ste 190
Tucson, AZ 85718-8604

Phone

(520) 501-9100

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Charles E Cornwell, TS

Title

Technical Supervisor

Phone

(801) 808-1191

Specialties & licenses 1

Addresses

Other names 1

• VACC Laboratories Doing business as

Locations

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1700546504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W FOSTORIA PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429450",
            "telephone_number": "801-808-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4582 N 1ST AVE STE 190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857188604",
            "telephone_number": "520-501-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACC LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TECHNICAL SUPERVISOR",
        "authorized_official_telephone_number": "801-808-1191",
        "authorized_official_credential": "TS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VACC Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Uzeta, RDH
• Michael A Uzick, N.M.D.
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• Donna M Vabero
• Siva Ranganath Reddy Vaddi, MBBS
• Reza Vafaie
• Lydie Vagnerova
• Vishnu Vaid
• Kairavi Vyomesh Vaishnav, DPM

• Clinical Medical Laboratory in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.