CENTRAL CLINICAL LABS INCORPORATED (NPI# 1598106163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598106163 |
| Entity Type | Organization |
| Organization Name | CENTRAL CLINICAL LABS INCORPORATED |
| Practice Address |
3720 E La Salle St Ste 103 Phoenix AZ 85040-3976 |
| Practice Telephone | 4809901335 |
| Practice Fax Number | 4909901337 |
| Mailing Telephone | 4809901335 |
| Mailing Fax Number | 4909901337 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. AYAZ AHMAD (PRESIDENT) |
| Authorized Official Telephone | 6302029840 |
| 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 | MEDICARE RAILROAD PTAN | P01308159 | 01 |
| AZ | MEDICARE | Z161509 | 01 |
| AZ | 845461 | 05 |
| Street Address |
3720 E LA SALLE ST STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-3976 |
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| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| 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. |
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| 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.