Caris Mpi, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03D1019490 Issued in AZ

Legal business name

CARIS MPI, INC.

Practice address

4610 South 44TH Place
Phoenix, AZ 85040-4010

Phone

(888) 979-8669

Fax

(480) 522-3506

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Luke Power

Title

Cfo and Cao and Treasurer

Phone

(214) 294-5568

Specialties & licenses 1

Addresses

Other names 1

• Caris Life Sciences Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Caris Mpi, Inc.

  • Clinical Medical Laboratory
  • Irving, TX
  • NPI 1164268835

  6709842263

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Caris Mpi, Inc.

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1225872658

  O20041206001235

  Same enrollment
• Caris Mpi, Inc.

  • Clinical Medical Laboratory
  • Irving, TX
  • NPI 1164268835

  O20231011003809

  Same enrollment

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1013973866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W JOHN CARPENTER FWY STE 800",
            "address_2": "C/O KELLY BERMAN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392520",
            "telephone_number": "888-979-8669",
            "fax_number": "480-522-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 SOUTH 44TH PLACE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850404010",
            "telephone_number": "888-979-8669",
            "fax_number": "480-522-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 West Royal Lane",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "75063",
            "country_code": "US",
            "telephone_number": "888-979-8669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 E Cotton Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850408900",
            "country_code": "US",
            "telephone_number": "888-979-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARIS MPI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CFO AND CAO AND TREASURER",
        "authorized_official_telephone_number": "214-294-5568"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D1019490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caris Life Sciences",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caris Life Sciences",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.