Embry Testing and Vaccines of New Mexico LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EMBRY TESTING AND VACCINES OF NEW MEXICO LLC

Practice address

4717 E Hilton Ave Ste 250
Phoenix, AZ 85034-6400

Phone

(480) 701-3322

NPI assigned

Feb 3, 2022

Organization subpart

No

Name

Makesha Fuqua

Title

Director of RCM

Phone

(480) 801-7975

• TestNow Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2022.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1063165504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD STE 123-215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516632",
            "telephone_number": "480-701-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 E HILTON AVE STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346400",
            "telephone_number": "480-701-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY TESTING AND VACCINES OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "MAKESHA",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "480-801-7975"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TestNow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Embry Testing and Vaccine Services of North Carolina PLLC
• Embry Testing and Vaccine Services of South Carolina LLC
• Embry Testing and Vaccine Services of Texas LLC
• Embry Testing and Vaccine Services of Washington LLC
• Embry Testing and Vaccines of Hawaii LLC
• Emc Transport Inc.
• Emc Walk-in and Wellness Inc.
• Emcare - PNX Emergency Physicians LLC
• Emedi Umbrella LLC
• Emelita Hospice Care Inc

• All providers in Phoenix, AZ
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.