Spectacular Med LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SPECTACULAR MED LLC

Practice address

9989 N 95TH St
Scottsdale, AZ 85258-4596

Phone

(480) 586-3220

Fax

(480) 586-3220

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Craig B Primack, MDNPI 1093707374

Title

Medical Director

Phone

(480) 586-3220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Barry Primack, MD

  • Pediatrics Physician
  • Scottsdale, AZ
  • NPI 1093707374
  NPD Authorized official

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1043821051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9989 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584596",
            "telephone_number": "480-586-3220",
            "fax_number": "480-586-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9989 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584596",
            "telephone_number": "480-586-3220",
            "fax_number": "480-586-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACULAR MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "PRIMACK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-586-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Mae Spataro, ST
• Chelsea Spaulding
• Samuel Speaker, LMT
• Speaktise, LLC
• Specialty Contact Lens Services, PLLC
• Spectrum College Transition Program
• Spectrum Dermatology, PLLC
• Spectrum Dialysis Az Inc
• Alice Chieh Ju Speed, MD
• Speedy Pediatrics

• Clinical Medical Laboratory in Scottsdale, AZ
• Providers in Scottsdale, 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 Aug 12, 2020; 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.