Organization Active NPI

Vestra Labs Ca

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1144987348
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VESTRA LABS CA
Practice address
2432 W Peoria Ave Ste 1327
Phoenix, AZ 85029-4741
Phone
(602) 334-1390
NPI assigned
Nov 22, 2021
Organization subpart
Yes
Parent organization
VESTRA LABS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Olivia Staples
Title
Executive Assistant
Phone
(480) 476-5276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2432 W Peoria Ave Ste 1327
Phoenix, AZ 85029-4741

Mailing address

2432 W Peoria Ave Ste 1327
Phoenix, AZ 85029-4741
Phone (602) 334-1390

National Provider Directory

National Provider Directory
Part of
Vestra Labs LLC

Locations

2432 W Peoria Ave
Ste 1265
Phoenix, AZ 85029
Phone (602) 334-1390

2432 W Peoria Ave
Ste 1327
Phoenix, AZ 85029
Phone (602) 334-1390

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1144987348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294741",
            "telephone_number": "602-334-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE STE 1327",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294741",
            "telephone_number": "602-334-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTRA LABS CA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VESTRA LABS LLC",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "480-476-5276"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Nov 22, 2021; 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.