SPECTACULAR MED LLC (NPI# 1043821051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043821051 |
| Entity Type | Organization |
| Organization Name | SPECTACULAR MED LLC |
| Practice Address |
9989 N 95th St Scottsdale AZ 85258-4596 |
| Practice Telephone | 4805863220 |
| Practice Fax Number | 4805863220 |
| Mailing Telephone | 4805863220 |
| Mailing Fax Number | 4805863220 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | DR. CRAIG B PRIMACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4805863220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
9989 N 95TH ST |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-4596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | 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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757780 | Saguaro Health & Security LLC | Clinical Medical Laboratory | 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 | 2020-07-21 |
| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
| 1891325288 | Radix Diagnostics LLC | Clinical Medical Laboratory | 17301 N Perimeter Dr Ste 100, Scottsdale, AZ 85255-5468 | 2020-01-24 |
| 1184195398 | Interactive Medical Services | Clinical Medical Laboratory | 6613 N Scottsdale Rd Ste 200, Scottsdale, AZ 85250-7804 | 2018-12-16 |
| 1194205260 | Renova Diagnostics LLC | Clinical Medical Laboratory | 9318 N 95th Way Ste A-205, Scottsdale, AZ 85258-5537 | 2018-08-17 |
| 1508369711 | Qm Services LLC | Clinical Medical Laboratory | 9449 N 90th St Ste 207, Scottsdale, AZ 85258-5037 | 2018-03-14 |
| 1093229908 | Complete Reference Lab | Clinical Medical Laboratory | 4032 N Miller Rd Ste A106, Scottsdale, AZ 85251-4572 | 2017-11-30 |
| 1013469675 | Rx Compliance Laboratories, Inc | Clinical Medical Laboratory | 14400 N 87th St, Suite: 120, Scottsdale, AZ 85260-3649 | 2016-10-31 |
| 1396191672 | Medical Labs of Arizona LLC | Clinical Medical Laboratory | 15455 N Greenway Hayden Loop Ste C16, Scottsdale, AZ 85260-1886 | 2016-05-05 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.