Organization · Type 2 NPI

Community Bridges, Inc

Clinical Medical Laboratory · Phoenix, AZ

NPI number 1558627786 Active

Practice location

2770 E Van Buren St
Phoenix, AZ 85008-6088

Call (602) 273-9999 Map

Fax (602) 225-2409

Mailing address

1855 W Baseline Rd, Suite 101
Mesa, AZ 85202-9000

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	03D2036543 (AZ)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

6 other providers at this address

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NPI record

NPI: 1558627786
Entity type: Organization (Type 2)
Issued: Apr 2, 2012
Last updated: Apr 2, 2012
Status: Active
Subpart: Yes of Community Bridges, Inc

Other names

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Central City Addiction Recovery Center · doing business as

Authorized official

Mr. John Hogeboom, LISAC
VP/coo
(480) 831-7566

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1558627786

Community Bridges, Inc's National Provider Identifier is 1558627786, issued on Apr 2, 2012. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2012.