Organization Active NPI

Crown Laboratories LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
National Provider Identifier
1154939650
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CROWN LABORATORIES LLC
Practice address
17727 N 92ND Way
Scottsdale, AZ 85255-6025
Phone
(160) 252-5281
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Sungchun Lee, MD
Title
MD
Phone
(602) 525-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17727 N 92ND Way
Scottsdale, AZ 85255-6025

Mailing address

17727 N 92ND Way
Scottsdale, AZ 85255-6025
Phone (160) 252-5281

Other names 1

  • Crown Laboratories Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1154939650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17727 N 92ND WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556025",
            "telephone_number": "160-252-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 N 92ND WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556025",
            "telephone_number": "160-252-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNGCHUN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-525-2819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.