Active NPI
Primary Lab Services LLC
- Clinical Medical Laboratory
- Phoenix, AZ
National Provider Identifier
1023967643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PRIMARY LAB SERVICES LLC
- Practice address
- 508 E Mineral Rd
Phoenix, AZ 85042-8327 - Phone
- (602) 318-5854
- Fax
- (602) 428-9948
- NPI assigned
- Jan 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osman Duran
- Title
- Business Owner
- Phone
- (602) 318-5854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
508 E Mineral Rd
Phoenix, AZ 85042-8327
Mailing address
508 E Mineral Rd
Phoenix, AZ 85042-8327
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2343477 | Primary Lab Services LLC | Certificate of waiver | May 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Phoenix, AZ
- NPI 1568864833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1023967643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 E MINERAL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850428327",
"fax_number": "602-428-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E MINERAL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850428327",
"telephone_number": "602-318-5854",
"fax_number": "602-428-9948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY LAB SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "OSMAN",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "602-318-5854"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.