San Tan Mobile Diagnostics LLC
NPI 1982093076ActiveOrganization· Physiological Laboratory· Mesa, AZ
Physiological Laboratory in Mesa, Arizona, registered in NPPES in January 2015. The authorized official on file is Garrett Lubben, President.
Overview
| NPI | 1982093076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2015 |
| Last updated in NPPES | Jan 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Mesa
- 1376512798
- 1912976333
- 1649249061
- 1639162779
- 1013885821