COPPER STATE LABORATORY SERVICES – NPI #1316805690
Specialist/Technologist, Pathology

COPPER STATE LABORATORY SERVICES is a technologist located in MESA, AZ. NPPES has assigned the NPI number 1316805690 to COPPER STATE LABORATORY SERVICES on January 14, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

The NPI profile was last updated on Jan 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COPPER STATE LABORATORY SERVICES below.

NPI Profile for
COPPER STATE LABORATORY SERVICES

NPI Number
1316805690
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COPPER STATE LABORATORY SERVICES
Primary location
2450 W BROADWAY RD STE 120
MESA, AZ 85202-1072
Phone: (480) 621-8517 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID RICHARDSON
PRINCIPAL
Phone: (480) 621-8517
Updated
Certification Date
Jan 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.