Big Bus Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BIG BUS LABS LLC

Practice address

625 W McKellips Rd Lot 170
Mesa, AZ 85201-1256

Phone

(520) 279-3099

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Manikia Boyd, RN

Title

Owner/ Operator

Phone

(520) 279-3099

Specialties & licenses 4

Addresses

Other names 1

• Big Bus Labs Other name

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1295486256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W MCKELLIPS RD LOT 170",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852011256",
            "telephone_number": "520-279-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W MCKELLIPS RD LOT 170",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852011256",
            "telephone_number": "520-279-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BUS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MANIKIA",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "520-279-3099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Bus Labs",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Big Bus Labs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Mesa, AZ
• Providers in Mesa, 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 Feb 25, 2022; 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.