Community Bridges, Inc
Organization Active NPI Clinical Medical Laboratory · Phoenix, AZ
NPI 1851667083 · NPPES record last updated Apr 2, 2012
Key facts
- NPI
- 1851667083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 03D2036539 (AZ)
- Legal business name
- COMMUNITY BRIDGES, INC
- Practice address
- 8825 N 23Rd Ave
Suite 100
Phoenix, AZ 85021-4147 - Phone
- (602) 861-2255
- Fax
- (602) 861-2288
- NPI assigned
- Apr 2, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY BRIDGES, INC
Authorized official
- Name
- John Hogeboom, LISAC
- Title
- VP/Coo
- Phone
- (480) 831-7566
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Community Bridges Inc
- Part of
- Community Bridges Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 03D2036539 | AZ | Yes |
Addresses
Primary practice location
8825 N 23Rd Ave
Suite 100
Phoenix, AZ 85021-4147
Mailing address
1855 W Baseline Rd
Suite 101
Mesa, AZ 85202-9000
Phone (480) 831-7566
Other names
- Center For Excellence
Other providers in Phoenix, AZ
- Communican Speech Therapy LLC
- Communication Solutions, LLC
- Community 43
- Community Birth Group
- Community Bridges, Inc
- Community Bridges, Inc.
- Community Bridges, Inc.
- Community Bridges, Inc.
- Community Bridges, Inc.
- Community Bridges, Inc.
All providers in Phoenix, AZ · Clinical Medical Laboratory in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2012. 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.