Organization Active NPI

CBD Laboratories Inc.

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1003261165
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CBD LABORATORIES INC.
Practice address
1301 E University Dr
Aztec Court, Suite 131
Tempe, AZ 85281-8405
Phone
(951) 323-7366
NPI assigned
Apr 26, 2016
Organization subpart
Yes
Parent organization
CONVALO HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Monroe
Title
Coo
Phone
(602) 550-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1301 E University Dr
Aztec Court, Suite 131
Tempe, AZ 85281-8405

Mailing address

PO Box 51438
Los Angeles, CA 90051-5738
Phone (855) 277-5363

National Provider Directory

National Provider Directory

Locations

1301 E University Dr
Ste 131
Tempe, AZ 85288
Phone (951) 323-7366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1003261165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51438",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515738",
            "telephone_number": "855-277-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E UNIVERSITY DR",
            "address_2": "AZTEC COURT, SUITE 131",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852818405",
            "telephone_number": "951-323-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBD LABORATORIES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONVALO HEALTH",
        "enumeration_date": "2016-04-26",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-550-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.