Organization Active NPI

Phoenix Toxicology & Lab Services

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1265789416
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHOENIX TOXICOLOGY & LAB SERVICES
Practice address
2432 W Peoria Ave
Suite 1064
Phoenix, AZ 85029-4726
Phone
(602) 678-5400
Fax
(602) 678-5401
NPI assigned
Aug 7, 2012
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mr. Jonathan Morton
Title
Managing Member
Phone
(602) 678-5400

Specialties & licenses 1

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

Addresses

Primary practice location

2432 W Peoria Ave
Suite 1064
Phoenix, AZ 85029-4726

Mailing address

PO Box 844679
Los Angeles, CA 90084-4679
Phone (602) 678-5400

Other identifiers 1

IdentifierTypeStateIssuer
822423MedicaidAZ

Other names 1

  • Summit Testing, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000335 AZ Part B Supplier - Independent Clinical Laboratory 8224275169 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2320 W Peoria Ave
Ste D132
Phoenix, AZ 85029
Phone (602) 678-5400

2432 W Peoria Ave
Ste 1064
Phoenix, AZ 85029
Phone (602) 678-5400

Practitioners & affiliated clinicians

Practitioners 4

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1265789416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900844679",
            "telephone_number": "602-678-5400",
            "fax_number": "602-678-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE",
            "address_2": "SUITE 1064",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294726",
            "telephone_number": "602-678-5400",
            "fax_number": "602-678-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX TOXICOLOGY & LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-678-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822423",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Testing, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Summit Testing, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.