COMMUNITY BRIDGES, INC
Medical Laboratory at Cottonwood Ave, Leupp Corner, AZ

License number
Arizona 03D2037490
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. JOHN HOGEBOOM LISAC
Title: VP/COO
Phone: (480) 831-7566
Address
Address 2
105 N Cottonwood Ave, Leupp Corner, AZ 86047
1855 W Baseline Rd SUITE 101, Mesa, AZ 85202
National Provider ID: 1508122078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY BRIDGES, INC at bizstanding.com

COMMUNITY BRIDGES, INC

Mesa, AZ

Industry:
Individual/Family Services
Doing business as:
Community Bridges
Registration:
Dec 29, 1982
Phone:
(480) 831-7566 (Phone), (480) 755-5070 (Phone)
Addresses:
1855 W Baseline Ave #101, Mesa, AZ 85202 (Physical)
1855 W Baseline Rd, Mesa, AZ 85202
1811 S Alma School Rd, Mesa, AZ 85210
State ID:
-0152679-3
Expiration:
PERPETUAL
Vice-Presidents:
Kerry Remella (President), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),Kathleen Kelly (Secretary), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),David Shumway (Treasurer), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),...
Agent:
Ezra T Clark Iii,63 E Main St #501, Mesa, AZ 85201 (Physical)
Categories:
Physical Therapists

Medical Laboratory licenses in Arizona

Other Doctors licenses in Arizona