Southern Arizona Clinical Laboratory LLC

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

SOUTHERN ARIZONA CLINICAL LABORATORY LLC

Practice address

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Phone

(520) 872-3000

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Christopher Gilles, MD

Title

President

Phone

(800) 288-8325

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1265785141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-872-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-288-8325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Arizona Allergy Associates, PC
• Southern Arizona Anesthesia Services, PC
• Southern Arizona Birth Support Fund
• Southern Arizona Center for Minimally Invasive Surgery, PC
• Southern Arizona Center for Pelvic Health
• Southern Arizona Diagnositc Imaging
• Southern Arizona Ear Nose & Throat
• Southern Arizona Ear Nose & Throat
• Southern Arizona Endodontics
• Southern Arizona Family Services, Inc.

• Clinical Pathology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.