PROVISTA DIAGNOSTICS, INC.
Medical Laboratory at Perimeter Dr, Scottsdale, AZ

License number
Arizona 03D1063366
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. SHERRI BORMAN PH.D., HCLD/CC (ABB)
Title: LABORATORY DIRECTOR
Phone: (602) 224-5500
Address
Address
17301 N Perimeter Dr SUITE 100, Scottsdale, AZ 85255
National Provider ID: 1053595751
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVISTA DIAGNOSTICS, INC. at bizstanding.com

PROVISTA DIAGNOSTICS, INC

Scottsdale, AZ  -  Wilmington, DE

Doing business as:
Provista Diagnostics
Registration:
Oct 16, 2012
Phone:
(602) 224-5500 (Phone)
Addresses:
17301 N Perimeter Dr STE 100, Scottsdale, AZ 85255 (Physical)
1209 Orange St, Wilmington, DE 19801 (Foreign)
State ID:
F-1788763-3
Expiration:
PERPETUAL
Directors:
David Reese (President/ceo), 17301 N Perimeter Dr STE 100, Scottsdale, AZ 85255 (Physical),John Fermanis (Secretary), 17301 N Perimeter Dr STE 100, Scottsdale, AZ 85255 (Physical),Yoji Nimura (Director), 17301 N Perimeter Dr STE 100, Scottsdale, AZ 85255 (Physical),...
Agent:
John N Fermanis,17301 N Perimeter Dr STE 100, Scottsdale, AZ 85255 (Physical)
Categories:
Medical Laboratories, Testing Laboratories

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