Internal Medicine & Lab Diagnostics PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24505 Issued in AZ

Legal business name

INTERNAL MEDICINE & LAB DIAGNOSTICS PC

Practice address

333 E Virginia Ave
#214
Phoenix, AZ 85004

Phone

(602) 258-3122

Fax

(602) 258-3119

NPI assigned

Jul 16, 2006

Last updated

Dec 11, 2007By 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

Nada Krnjaic, MDNPI 1538345848

Title

Medical Director

Phone

(602) 258-3122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

Locations

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.

• Nada Krnjaic, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1538345848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1013934983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE",
            "address_2": "#214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "602-258-3122",
            "fax_number": "602-258-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE",
            "address_2": "#214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "602-258-3122",
            "fax_number": "602-258-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & LAB DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "KRNJAIC",
        "authorized_official_first_name": "NADA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-258-3122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intensivists of Arizona, LLC
• Intent Pelvic Health PLLC
• Interactive Medical Systems
• Interactive Medical Systems, Inc
• Interion Group Inc (BaroSolutions)
• Internal Medicine of Arizona PC
• Internal Medicine Physicians Associates PC
• Internal Medicine Physicians Associates, P.C.
• Internal Medicine Primary Care Speciailists, PLLC
• Internal Medicine Specialists, PC

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.