PHOENIX LAB & ANCILLARY SERVICES (NPI# 1417422684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417422684 |
| Entity Type | Organization |
| Organization Name | PHOENIX LAB & ANCILLARY SERVICES |
| Practice Address |
702 E Bell Rd Ste 112 Phoenix AZ 85022-6639 |
| Mailing Address |
14251 N 6th Pl Phoenix AZ 85022-4224 |
| Practice Telephone | 6026032282 |
| Practice Fax Number | 6026032283 |
| Mailing Telephone | 6028314320 |
| Mailing Fax Number | 6026032283 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | SUSANA SPIEGEL (ADMINISTRATOR) |
| Authorized Official Telephone | 6028314320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
702 E BELL RD STE 112 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-6639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1770052177 | Canyon Pain Center LLC | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022-6639 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| 1730483124 | Dembyentertainment | Non-emergency Medical Transport (VAN) | 17222 N Central Ave 119, Phx, AZ 85022 | 2010-12-29 |
| Find all providers in zip 85022 | ||||
| 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 |
| Find all providers in PHOENIX | ||||
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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.