Organization Active NPI

Red Sand Laboratories, LLC

  • Clinical Medical Laboratory
  • Fountain Hills, AZ
National Provider Identifier
1053854422
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RED SAND LABORATORIES, LLC
Practice address
16847 E Parkview Ave Ste 101
Fountain Hills, AZ 85268-3804
Phone
(480) 401-0719
Fax
(602) 833-8574
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Ms. Cathy Claud
Title
Executive Director
Phone
(602) 833-8438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

16847 E Parkview Ave Ste 101
Fountain Hills, AZ 85268-3804

Mailing address

16847 E Parkview Ave Ste 101
Fountain Hills, AZ 85268-3804
Phone (480) 401-0719

Other identifiers 1

IdentifierTypeStateIssuer
023D2118390OtherAZCLIA

National Provider Directory

National Provider Directory

Locations

16847 E Parkview Ave
Ste 101
Fountain Hills, AZ 85268
Phone (480) 401-0719

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1053854422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16847 E PARKVIEW AVE STE 101",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683804",
            "telephone_number": "480-401-0719",
            "fax_number": "602-833-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16847 E PARKVIEW AVE STE 101",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683804",
            "telephone_number": "480-401-0719",
            "fax_number": "602-833-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SAND LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "CLAUD",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-833-8438",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "023D2118390",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.