Mesa Multispecialty, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MESA MULTISPECIALTY, LLC

Practice address

81 W. Guadalupe Road
Suite 112
Gilbert, AZ 85233

Phone

(480) 659-1404

Fax

(602) 635-3863

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Jeremiah Faber

Title

Ceo

Phone

(480) 258-3635

Specialties & licenses 1

Addresses

Other names 1

• Harmony Cardiology, LLC Former legal business name

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1104381466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 W. GUADALUPE ROAD",
            "address_2": "SUITE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-659-1404",
            "fax_number": "602-635-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W. GUADALUPE ROAD",
            "address_2": "SUITE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-659-1404",
            "fax_number": "602-635-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA MULTISPECIALTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-258-3635"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Cardiology, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katidiane Merrill
• Philemon R Merrill Jr., PA-C
• Jeneal Marie Merriman, OTR/L
• Kaylee Merz
• Mesa Ear Nose and Throat PC
• Mesa Tempe Allergy & Asthma Clinic PC
• Adam Nathaniel Mesa, PHARMD
• William Michael Meszaros, M.D.
• Phyllis Ann Metcalf
• Metropolitan Assisted Living LLC

• Clinical Medical Laboratory in Gilbert, AZ
• Providers in Gilbert, 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 Jan 31, 2019; 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.