Renova Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RENOVA DIAGNOSTICS LLC

Practice address

9318 N 95TH Way Ste a-205
Scottsdale, AZ 85258-5537

Phone

(480) 299-7442

NPI assigned

Aug 17, 2018

Last updated

Dec 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Grako

Title

Owner

Phone

(480) 299-7442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1194205260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 N 95TH WAY STE A-205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 N 95TH WAY STE A-205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585537",
            "telephone_number": "480-299-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-299-7442"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewcare of Scottsdale, Inc. (Osborn Health and Rehabilitation)
• Sean Renfree, MD
• John Renfrew
• Amy Elizabeth Rengel, SLPA
• Peter-John Frank Rennie
• Renovation Orthopaedics, LLC
• Renovation Surgical Assists, LLC
• Janae Nicole Rensvold, FNP
• Krystal Marie Renszel, DO
• Renuka P Kumar DDS

• Clinical Medical Laboratory in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.