Organization Active NPI

Labrad Diagnostics, LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1043738503
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABRAD DIAGNOSTICS, LLC
Practice address
2050 E University Dr Ste 1
Phoenix, AZ 85034-6700
Phone
(602) 714-7812
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Arizona Agent
Title
Organizer
Phone
(602) 714-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2050 E University Dr Ste 1
Phoenix, AZ 85034-6700

Mailing address

PO Box 2135
Chandler, AZ 85244-2135

National Provider Directory

National Provider Directory

Locations

2352 E University Dr
Ste D106
Phoenix, AZ 85034
Phone (602) 714-7812

2050 E University Dr
Ste 1
Phoenix, AZ 85034
Phone (602) 499-2672

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1043738503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2135",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852442135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E UNIVERSITY DR STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346700",
            "telephone_number": "602-714-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABRAD DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "AGENT",
        "authorized_official_first_name": "ARIZONA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "602-714-7812"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.