NPIMap

Organization Active NPI

Embry Testing and Vaccine Services of Florida LLC

Doing business as Embry Health

  • Clinic/Center
  • Mesa, AZ
National Provider Identifier
1023763992
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EMBRY TESTING AND VACCINE SERVICES OF FLORIDA LLC
Doing business as
Embry Health
Practice address
1640 S Stapley Dr Ste 241
Mesa, AZ 85204-6667
Phone
(480) 376-2175
NPI assigned
Feb 18, 2022
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Raymond Embry
Title
Ceo
Phone
(480) 376-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1640 S Stapley Dr Ste 241
Mesa, AZ 85204-6667

Mailing address

PO Box 63153
Phoenix, AZ 85082-3153

Other names 1

  • Embry Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1023763992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63153",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850823153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S STAPLEY DR STE 241",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046667",
            "telephone_number": "480-376-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY TESTING AND VACCINE SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-376-2170"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embry Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.