Organization Active NPI

Lavish Labs Medical Testing LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1285329276
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAVISH LABS MEDICAL TESTING LLC
Practice address
17435 N 7TH St Apt 2107
Phoenix, AZ 85022-1914
Phone
(480) 599-7980
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Timerea F Dunn
Title
Owner
Phone
(480) 599-7980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17435 N 7TH St Apt 2107
Phoenix, AZ 85022-1914

Mailing address

17435 N 7TH St Apt 2107
Phoenix, AZ 85022-1914
Phone (480) 599-7980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1285329276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 N 7TH ST APT 2107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221914",
            "telephone_number": "480-599-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 N 7TH ST APT 2107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221914",
            "telephone_number": "480-599-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH LABS MEDICAL TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "TIMEREA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-599-7980"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2023; 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.