NPIMap

Organization Active NPI

Dignity Health

Doing business as CommonSpirit Reference Laboratory

  • Clinical Medical Laboratory
  • Scottsdale, AZ
National Provider Identifier
1013672179
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIGNITY HEALTH
Doing business as
CommonSpirit Reference Laboratory
Practice address
19001 N Scottsdale Rd Ste 100
Scottsdale, AZ 85255-9679
Phone
(602) 217-1989
Fax
(602) 294-5388
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Jeffrey Jackson
Title
Chief Financial Officer
Phone
(461) 860-2406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

19001 N Scottsdale Rd Ste 100
Scottsdale, AZ 85255-9679

Mailing address

19001 N Scottsdale Rd Ste 100
Scottsdale, AZ 85255-9679
Phone (602) 217-1989

Other identifiers 1

IdentifierTypeStateIssuer
CDS-90001632OtherCACA STATE LABORATORY LICENSE

Other names 1

  • CommonSpirit Reference Laboratory Doing business as

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
03D2187322Commonspirit Reference Laboratory19001 N Scottsdale Rd, Suite 100, Scottsdale, AZ 85255AccreditationMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

19001 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (602) 217-1989

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1013672179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559679",
            "telephone_number": "602-217-1989",
            "fax_number": "602-294-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559679",
            "telephone_number": "602-217-1989",
            "fax_number": "602-294-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "461-860-2406"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LABORATORY LICENSE",
            "identifier": "CDS-90001632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommonSpirit Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.