NPIMap

Organization Active NPI

Weststar Medical, LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
National Provider Identifier
1215320726
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
03D2085583 Issued in AZ
Legal business name
WESTSTAR MEDICAL, LLC
Practice address
9015 E Via Linda
Suite 103
Scottsdale, AZ 85258-5410
Phone
(800) 717-6390
Fax
(800) 717-6390
NPI assigned
Mar 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2015

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

Authorized official

Name
Dr. Mark A Smith, EDD
Title
Chairman
Phone
(800) 717-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 03D2085583 AZ Primary

Addresses

Primary practice location

9015 E Via Linda
Suite 103
Scottsdale, AZ 85258-5410

Mailing address

53444 Ash Rd
Granger, IN 46530-5025

National Provider Directory

National Provider Directory
Tax ID family
Weststar Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9015 E Via Linda
Ste 103
Scottsdale, AZ 85258
Phone (800) 717-6390

NPI Registry JSON

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

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425772800000",
    "number": "1215320726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53444 ASH RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465305025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 E VIA LINDA",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585410",
            "telephone_number": "800-717-6390",
            "fax_number": "800-717-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSTAR MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-03-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "800-717-6390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D2085583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 2015; 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.