Organization Active NPI

Azmed Lab LLC

  • Clinical Medical Laboratory
  • Mesa, AZ
National Provider Identifier
1104465954
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Dec 26, 2019

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL drjosh@azmedsport.com

National Provider Directory

National Provider Directory
Tax ID family
Azmed Lab LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.