CENTRAL MEDICAL LABORATORY, INC. (NPI# 1265877542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265877542 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEDICAL LABORATORY, INC. |
| Practice Address |
2601 N 3rd St Suite# 218 Phoenix AZ 85004-1104 |
| Practice Telephone | 6026265360 |
| Practice Fax Number | 6026265943 |
| Mailing Telephone | 6026265360 |
| Mailing Fax Number | 6026265943 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | DR. JOHN CHATFIELD HISERODT (MEDICAL DIRECTOR/ DIRECT OWNER) |
| Authorized Official Telephone | 7147435253 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CENTRAL MEDICAL LABORATORY, INC. | %, 3900 E 48 Ave, Po Bx 5180, Denver, CO 80217 |
| Street Address |
2601 N 3RD ST SUITE# 218 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649796 | Ismar Cintora | Specialist | 2601 N 3rd St, Ste 203, Phoenix, AZ 85004-1145 | 2005-06-14 |
| 1962936021 | Comprehensive Medical Services | Home Health | 2601 N 3rd St, Suite 308-2, Phoenix, AZ 85004-1104 | 2017-04-16 |
| 1760939268 | Phoenix Medical Imaging | Radiologic Technologist | 2601 N 3rd St, Suite 308, Phoenix, AZ 85004-1104 | 2016-09-01 |
| 1528496783 | Mobile Care Physicians LLC | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-28 |
| 1104254580 | Asante Medical Associates | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-23 |
| 1043648595 | Mobile Care Physicians LLC | Assisted Living Facility | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-19 |
| 1710314679 | Copeland Care | General Practice | 2601 N 3rd St, Suite 213, Phoenix, AZ 85004-1104 | 2013-10-08 |
| 1265869267 | Asante Medical Associates LLC | Preventive Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-04 |
| 1104253251 | Red House Medical Plc | Internal Medicine | 2601 N 3rd St, Suite 305, Phoenix, AZ 85004-1104 | 2013-10-03 |
| 1164792479 | Paul Eugene Bendheim | Psychiatry & Neurology | 2601 N 3rd St, Suite 125, Phoenix, AZ 85004-1104 | 2012-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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.