NORTHERN ARIZONA MEDICAL GROUP, PLLC (NPI# 1669073748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669073748 |
| Entity Type | Organization |
| Organization Name | NORTHERN ARIZONA MEDICAL GROUP, PLLC |
| Practice Address |
3555 Western Ave Kingman AZ 86409-3291 |
| Practice Telephone | 9287578440 |
| Practice Fax Number | 9287578448 |
| Mailing Telephone | 9287578440 |
| Mailing Fax Number | 9287578448 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | ZAFFAR IQBAL (OWNER) |
| Authorized Official Telephone | 9287578440 |
| Authorized Official Credential | MD |
| 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 | 357676 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770743965 | Northern Arizona Medical Group, Pllc | Specialist | 3879 N Painted Trl, Kingman, AZ 86409-1244 | 2008-06-11 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| Street Address |
3555 WESTERN AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1538667423 | Donescia Monique Hypolite | Nurse Practitioner | 3555 Western Ave, Kingman, AZ 86409-3011 | 2018-01-25 |
| 1609236967 | Lori Lynn Schott | Nurse Practitioner | 3555 Western Ave, Kingman, AZ 86409-3011 | 2016-02-29 |
| 1699159111 | Northern Arizona Medical Group, Pllc | Clinic/Center | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-07-14 |
| 1245626399 | Jenifer Pichardo | Registered Nurse | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-04-15 |
| 1669864690 | Premier Chronic Care Management, Pllc | Internal Medicine | 3555 Western Ave, Kingman, AZ 86409-3011 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| 1386702546 | Arizona Desert Dermatology and Surgery PC | Dermatology | 1700 Sycamore Avenue, Kingman, AZ 86409 | 2006-12-04 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003360785 | Diagnostic Solutions, LLC | Clinical Medical Laboratory | 3931 N Stockton Hill Rd, Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
| 1063966745 | Diagnostic Laboratory Solutions, LLC | Clinical Medical Laboratory | 3931 N Stockton Hill Rd Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
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| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1649890807 | Promed Services LLC | Clinical Medical Laboratory | 6986 E Mary Dr, Tucson, AZ 85730-1713 | 2020-04-17 |
| 1780203638 | Translational Genomics Research Institute | Clinical Medical Laboratory | 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 | 2020-04-10 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
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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.