Gondra Center for Ivf Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

44933 Issued in AZ

Legal business name

GONDRA CENTER FOR IVF LABORATORIES

Practice address

20940 N Tatum Blvd
Ste B210
Phoenix, AZ 85050-4265

Phone

(480) 621-6203

Fax

(480) 621-6331

NPI assigned

Feb 26, 2016

Organization subpart

Yes

Parent organization

GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGYAs reported in NPPES

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

Authorized official

Name

Dr. Maria M Gondra, M.D.

Title

Doctor

Phone

(480) 240-8815

Specialties & licenses 1

Addresses

Part of

Gondra Center for Reproductive Care Advanced Gynecology

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gondra Center for Reproductive Care & Advanced Gynecology

  • Gynecology Physician
  • Phoenix, AZ
  • NPI 1518328871
  NPPES parent name

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1073973558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-621-6203",
            "fax_number": "480-621-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-621-6203",
            "fax_number": "480-621-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONDRA CENTER FOR IVF LABORATORIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "GONDRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "480-240-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "44933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gomper'S Center, Inc.
• Gompers Habilitation Center
• Erica Gonani, SLPA
• Luis F Goncalves, MD
• Alexis Ann Gonder, OT
• Gondra Center for Reproductive Care & Advanced Gynecology
• Maria Mercedes Gondra, M.D.
• Abebe Molla Gonet, RPH
• Aleta Belinda Gong, O.D.
• Gerald D Gong, M.D.

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, 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 Feb 26, 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.