1 Source Labs and Medical Services LLC
Organization Active NPI Point of Service · Phoenix, AZ
NPI 1730708017 · NPPES record last updated Apr 16, 2020
Key facts
- NPI
- 1730708017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Point of Service 305S00000X
- Legal business name
- 1 SOURCE LABS AND MEDICAL SERVICES LLC
- Practice address
- 2440 W Mission LN Ste 5
Phoenix, AZ 85021-2824 - Phone
- (623) 261-1716
- Fax
- (623) 321-1569
- NPI assigned
- Apr 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Manuel Enrique Salgado
- Title
- Ceo
- Phone
- (623) 261-1716
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Yes |
Addresses
Primary practice location
2440 W Mission LN Ste 5
Phoenix, AZ 85021-2824
Mailing address
2440 W Mission LN Ste 5
Phoenix, AZ 85021-2824
Phone (623) 261-1716
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msalgado@1sourcelabsandmedical.com | Direct | |
| Direct Messaging Address | Msalgado@1sourcelabsandmedical.com | Direct |
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.