Elitek Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELITEK LABORATORIES

Practice address

5323 W Odeum LN
Phoenix, AZ 85043-6595

Phone

(480) 669-4430

NPI assigned

Jul 27, 2017

Last updated

Jul 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Fernandez Hernandez, ASSOCIATESNPI 1174044127

Title

Phlebotomist

Phone

(480) 669-4430

Specialties & licenses 1

Addresses

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.

• Daniel Fernandez Hernandez

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1174044127
  NPD (past) Authorized official

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1013431527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 W ODEUM LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850436595",
            "telephone_number": "480-669-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 W ODEUM LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850436595",
            "telephone_number": "480-669-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEK LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ HERNANDEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "480-669-4430",
        "authorized_official_credential": "ASSOCIATES"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Royalty Healthcare, LLC
• Elite Start Nutrition, LLC
• Elite Therapy of Az
• Elite Vascular, Vein, and Surgical Specialists, LLC
• Elite View Imaging LLC (Elite View Starolup Holdings)
• Elizabeth J McConnell MD PLC
• Elizabeth J. Fleming, DDS PC
• Diana I Elizalde, M.D.
• Luisa Patio Elizalde, NP-C
• Vanessa Elizalde, APRN-CNP, PMHNP-BC

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.