Pedialabs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

299660 Issued in AZ

Legal business name

PEDIALABS, LLC

Doing business as

PediaLabs, LLC

Practice address

4653 S Lakeshore Dr Ste 1
Tempe, AZ 85282-7161

Phone

(480) 395-3972

Fax

(480) 503-8138

NPI assigned

May 14, 2017

Last updated

Aug 25, 2021By 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

Maria Stewart AtkinsNPI 1790212322

Title

Owner

Phone

(252) 468-2917

Specialties & licenses 1

Addresses

Other names 1

• PediaLabs, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Stewart Atkins

  • Other Technician
  • Mesa, AZ
  • NPI 1790212322
  NPD Authorized official

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1245767870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-395-3972",
            "fax_number": "480-503-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-395-3972",
            "fax_number": "480-503-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIALABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-14",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-468-2917"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "299660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PediaLabs, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PediaLabs, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John D Pearson, O.D.
• Thomas Pearson
• Cristina Pecci, D.O.
• Kerrie Laine Peck
• Richard Peck, M.ED
• Pediatrics Healthcare Associates (Caring Pediatrics)
• Lora Pedrosa, PMHNP-BC
• Serena Jae Pedroza, MS SLP
• Haritheesan Peethambaran, PTA
• Francisco Pelayo, MD

• Clinical Medical Laboratory in Tempe, AZ
• Providers in Tempe, 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 Aug 25, 2021; 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.