BEECHTREE DIAGNOSTICS, LLP


Address: 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225
Phone: 6028198291

BEECHTREE DIAGNOSTICS, LLP (NPI# 1396202602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396202602
Entity Type Organization
Organization Name BEECHTREE DIAGNOSTICS, LLP
Other Organization Name BEECHTREE DIAGNOSTICS LLC
Practice Address 5062 N 19th Ave Ste 102b
Phoenix
AZ 85015-3225
Practice Telephone 6028198291
Practice Fax Number 4806295996
Mailing Telephone 6028198291
Mailing Fax Number 4806295996
Enumeration Date 2019-02-22
Last Update Date 2019-06-11
Authorized Official Name TIM HENDRICK (ARIZONA REGIONAL DIRECTOR)
Authorized Official Telephone 4803304294
Is Organization Subpart Y
Parent Organization Name BEECHTREE DIAGNOSTICS LLP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
UT CLIA 46D2103212 01

Other Provider/Organization Names

Other Name Type Code
BEECHTREE DIAGNOSTICS LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215302245 Beechtree Diagnostics, LLP Clinical Medical Laboratory 12351 S. Gateway Park Place, Suite D-700, Draper, UT 84020-9581 2015-12-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BEECHTREE DIAGNOSTICS, LLP 12351 S Gateway Park Pl Ste D-700, Draper, UT 84020-9581

Office Location

Street Address 5062 N 19TH AVE STE 102B
City PHOENIX
State AZ
Zip Code 85015-3225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225529134 Restor Medical & Wellness Pllc Clinic/Center 5062 N 19th Ave Ste 102b, Phoenix, AZ 85015-3225 2018-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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City PHOENIX
Zip Code 85015

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Dataset Information

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.

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