NPIMap

Organization Active NPI

All Sports Foundation, Inc

Doing business as Prostate On-Site Project

  • Clinical Medical Laboratory
  • Mesa, AZ
National Provider Identifier
1255509717
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALL SPORTS FOUNDATION, INC
Doing business as
Prostate On-Site Project
Practice address
322 E Brown Rd
Suite 103
Mesa, AZ 85201-3563
Phone
(480) 964-3013
Fax
(480) 964-1644
NPI assigned
Feb 18, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Mr. Eugene M. Felker
Title
Ceo/Founder
Phone
(480) 964-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

322 E Brown Rd
Suite 103
Mesa, AZ 85201-3563

Mailing address

322 E Brown Rd
Suite 103
Mesa, AZ 85201-3563
Phone (480) 964-3013

Other names 1

  • Prostate On-Site Project Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Sports Foundation Inc2 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

322 E Brown Rd
Ste 103
Mesa, AZ 85201
Phone (480) 964-3013

525 W Southern Ave
Ste 102
Mesa, AZ 85210

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1255509717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E BROWN RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013563",
            "telephone_number": "480-964-3013",
            "fax_number": "480-964-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E BROWN RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013563",
            "telephone_number": "480-964-3013",
            "fax_number": "480-964-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SPORTS FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "FELKER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "480-964-3013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prostate On-Site Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.