Active NPI
Azmed Lab LLC
- Clinical Medical Laboratory
- Mesa, AZ
National Provider Identifier
1104465954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AZMED LAB LLC
- Practice address
- 2950 S Alma School Rd Ste 14
Mesa, AZ 85210-4036 - Phone
- (602) 492-8512
- NPI assigned
- Dec 26, 2019
- 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
- Josh Adams
- Title
- Owner
- Phone
- (502) 415-2836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2950 S Alma School Rd Ste 14
Mesa, AZ 85210-4036
Mailing address
2950 S Alma School Rd Ste 14
Mesa, AZ 85210-4036
Phone (602) 492-8512
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | drjosh@azmedsport.com |
National Provider Directory
National Provider Directory- Tax ID family
- Azmed Lab LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Sun Lakes, AZ
- NPI 1285295089
Locations
2950 S Alma School Rd
Ste 14
Mesa, AZ 85210
Phone (602) 492-8512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577318400000",
"number": "1104465954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 S ALMA SCHOOL RD STE 14",
"city": "MESA",
"state": "AZ",
"postal_code": "852104036",
"telephone_number": "602-492-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ALMA SCHOOL RD STE 14",
"city": "MESA",
"state": "AZ",
"postal_code": "852104036",
"telephone_number": "602-492-8512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZMED LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-415-2836"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "drjosh@azmedsport.com",
"affiliation": "N",
"address_1": "2950 S Alma School Rd Ste 14",
"city": "Mesa",
"state": "AZ",
"country_code": "US",
"postal_code": "852104036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.