SOUTHERN ARIZONA CLINICAL LABORATORY LLC (NPI# 1265785141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265785141 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ARIZONA CLINICAL LABORATORY LLC |
| Practice Address |
1601 W Saint Marys Rd Tucson AZ 85745-2623 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 5208723000 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | CHRISTOPHER GILLES (PRESIDENT) |
| Authorized Official Telephone | 8002888325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
1601 W SAINT MARYS RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775528 | David A Boswell | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2005-07-21 |
| 1285113654 | Marissa Kryger | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2018-08-07 |
| 1114438926 | Tamra L Mullen | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-10-19 |
| 1881117703 | Marybeth Theano Serdenes | Occupational Therapist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-07-23 |
| 1669907713 | May Grace Kushner | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-26 |
| 1588198006 | Charles Elliott | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-12 |
| 1093259640 | Robert Theodore Galey | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-12-15 |
| 1962944702 | Sound Physicians Intensivists of Arizona, Inc | Family Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-11-10 |
| 1699146324 | Lydia Esabia Fernandez | Registered Nurse | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-10-07 |
| 1720454341 | Smsj Tucson Holdings LLC | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026806 | Ctca Physicians Group of Arizona, Inc. | Pathology | 14200 Celebrate Life Way, Goodyear, AZ 85338 | 2008-09-24 |
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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.