Colectivo Laboratories LLC

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

COLECTIVO LABORATORIES LLC

Practice address

10385 E Dreyfus Ave
Scottsdale, AZ 85260-7287

Phone

(480) 529-3859

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Truax

Title

President / Ceo

Phone

(480) 529-3859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1801487830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10385 E DREYFUS AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607287",
            "telephone_number": "480-529-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10385 E DREYFUS AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607287",
            "telephone_number": "480-529-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLECTIVO LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "TRUAX",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "480-529-3859"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Rares Colceriu, M.D.
• Heather Woodin Cole, M.D.
• Hillary Cole
• Taryn Cole
• Tyon Cole
• Dawn Coleman, RN
• Ivorie Coleman, MD
• Michael James Coles, DMD
• Colette Wilcoxen LLC
• Marilyn Joyce Colick, PHARM D.

• Clinical Pathology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.