Organization Active NPI

Greysky Diagnostics LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1104346386
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GREYSKY DIAGNOSTICS LLC
Practice address
906 W Roosevelt St Ste 2
Phoenix, AZ 85007-2106
Phone
(844) 803-5624
NPI assigned
Jun 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Carin Hines
Title
Ceo
Phone
(844) 803-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AZ Primary

Addresses

Primary practice location

906 W Roosevelt St Ste 2
Phoenix, AZ 85007-2106

Mailing address

906 W Roosevelt St Ste 2
Phoenix, AZ 85007-2106
Phone (844) 803-5624

National Provider Directory

National Provider Directory

Locations

906 W Roosevelt St
Ste 2
Phoenix, AZ 85007
Phone (844) 803-5624

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104346386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W ROOSEVELT ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072106",
            "telephone_number": "844-803-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W ROOSEVELT ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072106",
            "telephone_number": "844-803-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYSKY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "CARIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-803-5624"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.