Central Medical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL MEDICAL LABORATORY, INC.

Practice address

2601 N 3Rd St
Suite# 218
Phoenix, AZ 85004-1104

Phone

(602) 626-5360

Fax

(602) 626-5943

NPI assigned

May 1, 2013

Last updated

May 1, 2013By 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

Dr. John Chatfield Hiserodt, M.D.

Title

Medical Director/ Direct Owner

Phone

(714) 743-5253

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1265877542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE# 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "602-626-5360",
            "fax_number": "602-626-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "SUITE# 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "602-626-5360",
            "fax_number": "602-626-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HISERODT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHATFIELD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ DIRECT OWNER",
        "authorized_official_telephone_number": "714-743-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, 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 May 1, 2013; 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.