Carondelet Laboratory Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03D0914817 Issued in AZ

Legal business name

CARONDELET LABORATORY SERVICES INC

Practice address

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Phone

(888) 472-0380

NPI assigned

Apr 16, 2010

Last updated

Jun 29, 2010By 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

Richard W Bann

Title

President

Phone

(888) 472-0380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1326364258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LAKESIDE DR",
            "address_2": "STE 466",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426544",
            "telephone_number": "888-472-0380"
        },
        {
            "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": "888-472-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "BANN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-472-0380"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D0914817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carondelet Health Network (St Mary's Hospital)
• Carondelet Health Network (St Mary's Hospital)
• Carondelet Health Network (St Joesph's Hospital)
• Carondelet Heart & Vascular Institute
• Carondelet Heart and Vascular Institute
• Carondelet Medical Group
• Carondelet Medical Group Inc
• Carondelet Medical Group Urgent Care, Inc
• Carondelet Medical Group, Inc
• Carondelet Specialist Group, Inc

• Clinical Medical Laboratory in Tucson, AZ
• Providers in Tucson, 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 Jun 29, 2010; 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.