Active NPI
Integrated Molecular Diagnostics Laboratory
- Clinical Medical Laboratory
- Chandler, AZ
National Provider Identifier
1063106896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INTEGRATED MOLECULAR DIAGNOSTICS LABORATORY
- Practice address
- 928 N Alma School Rd
Chandler, AZ 85224-3665 - Phone
- (480) 703-4227
- NPI assigned
- Jun 5, 2023
- 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
- Dr. Mohammad R Ali, PHD
- Title
- Laboratory Director
- Phone
- (480) 703-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
928 N Alma School Rd
Chandler, AZ 85224-3665
Mailing address
928 N Alma School Rd
Chandler, AZ 85224-3665
Phone (480) 703-4227
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 |
|---|---|---|---|
| 03D2192064 | Cov19+ Testing Laboratory | Registration | Oct 29, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1063106896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 N ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243665",
"telephone_number": "480-703-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 N ALMA SCHOOL RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243665",
"telephone_number": "480-703-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED MOLECULAR DIAGNOSTICS LABORATORY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "480-703-4227",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"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 Jun 5, 2023; 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.