Organization Active NPI

Volentedx Scottsdale, LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1154809937
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VOLENTEDX SCOTTSDALE, LLC
Practice address
4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042
Phone
(480) 320-4729
Fax
(602) 971-2147
NPI assigned
Aug 2, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jeffrey L Smith
Title
Ceo
Phone
(480) 320-4729

Specialties & licenses 1

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

Addresses

Primary practice location

4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042

Mailing address

4530 E Shea Blvd Ste 165
Phoenix, AZ 85028-6042
Phone (480) 320-4729

National Provider Directory

National Provider Directory

Locations

4530 E Shea Blvd
Ste 142
Phoenix, AZ 85028
Phone (480) 320-4729

4530 E Shea Blvd
Ste 165
Phoenix, AZ 85028
Phone (602) 274-7572

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1154809937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "480-320-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E SHEA BLVD STE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286042",
            "telephone_number": "480-320-4729",
            "fax_number": "602-971-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLENTEDX SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-320-4729"
    },
    "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 Jun 11, 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.