PHOENIX TOXICOLOGY AND LAB SERVICES, LLC (NPI# 1265789416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265789416 |
| Entity Type | Organization |
| Organization Name | PHOENIX TOXICOLOGY AND LAB SERVICES, LLC |
| Other Organization Name | SUMMIT TESTING, LLC |
| Practice Address |
2432 W Peoria Ave Suite 1064 Phoenix AZ 85029-4726 |
| Mailing Address |
Po Box 844679 Los Angeles CA 90084-4679 |
| Practice Telephone | 6026785400 |
| Practice Fax Number | 6026785401 |
| Mailing Telephone | 6026785400 |
| Mailing Fax Number | 6026785401 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | MR. JOEL MORTON (GENERAL SUPERVISOR) |
| Authorized Official Telephone | 6026785400 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 822423 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Testing, LLC | Former Legal Business Name - Organization |
| Street Address |
2432 W PEORIA AVE SUITE 1064 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497725 | Rosemarie Ludwig | Counselor | 2432 W Peoria Ave, Ste 1002, Phoenix, AZ 85029-4727 | 2005-12-14 |
| 1770123614 | Supportive Community Services LLC | Counselor | 2432 W Peoria Ave, Phoenix, AZ 85029-4726 | 2020-01-08 |
| 1295198497 | The River Source Outpatient Peoria | Clinic/Center | 2432 W Peoria Ave, Suite 1227, Phoenix, AZ 85029-4726 | 2016-04-04 |
| 1255623260 | Marvah D'aquino | Specialist/Technologist | 2432 W Peoria Ave, Suite 1044, Phoenix, AZ 85029-4726 | 2011-05-10 |
| 1801185152 | Marissa Elena Hernandez | Specialist/Technologist | 2432 W Peoria Ave, Phoenix, AZ 85029-4726 | 2011-04-06 |
| 1518265404 | Suzette Bernales | Specialist/Technologist | 2432 W Peoria Ave, Suite 1044, Phoenix, AZ 85029-4726 | 2011-03-02 |
| 1720211402 | Anna Kay Lee | Specialist/Technologist | 2432 W Peoria Ave, Phoenix, AZ 85029-4726 | 2009-08-28 |
| 1568604445 | Muinat Adepeju Udoinwang | Home Health | 2432 W Peoria Ave, Building 5 Suite 1120, Phoenix, AZ 85029-4726 | 2009-03-24 |
| 1073758835 | Quality Transport Services of Az | Non-emergency Medical Transport (VAN) | 2432 W Peoria Ave, #1340, Phoenix, AZ 85029 | 2008-12-09 |
| 1649438821 | Michael L Rinker | Counselor | 2432 W Peoria Ave, 1187, Phoenix, AZ 85029-4726 | 2008-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| 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 |
|---|---|---|---|---|
| 1538706049 | Nexxgen Laboratories | Clinical Medical Laboratory | 20805 N 19th Ave, Phoenix, AZ 85027-3557 | 2019-12-03 |
| 1790244168 | Iron Horse Diagnostics, Inc. | Clinical Medical Laboratory | 124 W Thomas Rd Ste 200, Phoenix, AZ 85013-4416 | 2019-03-15 |
| 1417429077 | Tela Ventures, LLC | Clinical Medical Laboratory | 3608 N 56th St, Phoenix, AZ 85018-4536 | 2018-12-20 |
| 1154809937 | Volentedx Scottsdale, LLC | Clinical Medical Laboratory | 4530 E Shea Blvd Ste 165, Phoenix, AZ 85028-6042 | 2018-08-02 |
| 1376038950 | Dbw Diagnostics, LLC | Clinical Medical Laboratory | 2414 W Sierra St, Phoenix, AZ 85029-3425 | 2018-06-26 |
| 1558851519 | Prorenata Labs LLC | Clinical Medical Laboratory | 8222 S 48th St Ste 210, Phoenix, AZ 85044-5303 | 2018-05-15 |
| 1528561362 | Beacon Biomedical Inc. | Clinical Medical Laboratory | 275 N Gateway Dr Ste 149, Phoenix, AZ 85034-1700 | 2018-03-16 |
| 1518473263 | Cutaneous Neurodiagnostics, LLC | Clinical Medical Laboratory | 5070 N 40th St Ste 125, Phoenix, AZ 85018-2193 | 2017-12-18 |
| 1174044127 | Daniel Fernandez Hernandez | Clinical Medical Laboratory | 5323 W Odeum Ln, Phoenix, AZ 85043-6595 | 2017-06-29 |
| 1104346386 | Greysky Diagnostics LLC | Clinical Medical Laboratory | 906 W Roosevelt St Ste 2, Phoenix, AZ 85007-2106 | 2017-06-20 |
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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.