Active NPI
Phoenix Diagnostics LLC
- Clinical Medical Laboratory
- Phoenix, AZ
National Provider Identifier
1164338323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PHOENIX DIAGNOSTICS LLC
- Practice address
- 300 W Clarendon Ave. Suite 300 Office 325
Phoenix, AZ 85013-3420 - Phone
- (929) 802-0684
- Fax
- (213) 933-8718
- NPI assigned
- Aug 19, 2026
- 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
- Mohammad Mansoor
- Title
- Owner
- Phone
- (929) 802-0684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
300 W Clarendon Ave. Suite 300 Office 325
Phoenix, AZ 85013-3420
Mailing address
300 W Clarendon Ave. Suite 300 Office 325
Phoenix, AZ 85013-3420
Phone (929) 802-0684
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1164338323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE. SUITE 300 OFFICE 325",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "929-802-0684",
"fax_number": "213-933-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE. SUITE 300 OFFICE 325",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "929-802-0684",
"fax_number": "213-933-8718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "MANSOOR",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-802-0684"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Phoenix Diabetes and Endocrinology, LLC
- Phoenix Diagnostic Imaging Inc
- Phoenix Diagnostic Imaging Inc
- Phoenix Diagnostic Imaging Inc
- Phoenix Diagnostic Imaging, Inc
- Phoenix Dream Center Behavioral Health LLC
- Phoenix Dva
- Phoenix Education Management, L.L.C.
- Phoenix Ei Transportation Inc
- Phoenix Elementary School District #1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.