Provider Demographics
NPI:1164826111
Name:DESERT LABORATORIES LLC
Entity type:Organization
Organization Name:DESERT LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PARAMVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:TULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-444-7444
Mailing Address - Street 1:1343 N ALMA SCHOOL RD STE 160
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5901
Mailing Address - Country:US
Mailing Address - Phone:480-444-7444
Mailing Address - Fax:480-726-0695
Practice Address - Street 1:1343 N ALMA SCHOOL RD STE 160
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5901
Practice Address - Country:US
Practice Address - Phone:480-444-7444
Practice Address - Fax:480-726-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory