Organization Active NPI

Diagnostic Solutions, LLC

  • Clinical Medical Laboratory
  • Kingman, AZ
National Provider Identifier
1003360785
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
L21125467 Issued in AZ
Legal business name
DIAGNOSTIC SOLUTIONS, LLC
Practice address
3931 N Stockton Hill Rd
Ste E
Kingman, AZ 86409-2426
Phone
(973) 477-7923
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Kerry DeeringNPI 1245336890
Title
Owner
Phone
(928) 753-4263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X L21125467 AZ Primary

Addresses

Primary practice location

3931 N Stockton Hill Rd
Ste E
Kingman, AZ 86409-2426

Mailing address

3931 N Stockton Hill Rd
Ste E
Kingman, AZ 86409-2426
Phone (928) 753-6020

Other identifiers 1

IdentifierTypeStateIssuer
261318MedicaidAZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2308770Prescott Healthcare Solutions LLC Dba3931 Stockton Hill Rd, Kingman, AZ 86409Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1003360785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 N STOCKTON HILL RD",
            "address_2": "STE E",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092426",
            "telephone_number": "928-753-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 N STOCKTON HILL RD",
            "address_2": "STE E",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864092426",
            "telephone_number": "973-477-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "DEERING",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-753-4263"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "L21125467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261318",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.