Active NPI
Saguaro Bloom Diagnostics LLC
- Clinical Medical Laboratory
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SAGUARO BLOOM DIAGNOSTICS LLC
- Practice address
- 3308 N Hayden Rd Ste 103-105
Scottsdale, AZ 85251-6627 - Phone
- (480) 737-3477
- NPI assigned
- Jul 21, 2020
- Organization subpart
- Yes
- Parent organization
- SAGUARO HEALTH & SECURITY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse Greer, MD
- Title
- Medical Director
- Phone
- (480) 737-3477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3308 N Hayden Rd Ste 103-105
Scottsdale, AZ 85251-6627
Mailing address
PO Box 1240
Scottsdale, AZ 85252-1240
Phone (480) 737-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03D2188271 | Other | AZ | CLIA NUMBER |
National Provider Directory
National Provider Directory- Part of
- Saguaro Health Security LLC
Locations
3308 N Hayden Rd
Unit 103105
Scottsdale, AZ 85251
Phone (480) 737-3477
3308 N Hayden Rd
Ste 103105
Scottsdale, AZ 85251
Phone (480) 737-3477
4165 N Craftsman Ct
Ste A
Scottsdale, AZ 85251
Phone (602) 737-3477
3308 N Hayden Rd
Unit 103
Scottsdale, AZ 85251
Phone (480) 737-3477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1528396132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1336757780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1240",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852521240",
"telephone_number": "480-737-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 N HAYDEN RD STE 103-105",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516627",
"telephone_number": "480-737-3477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGUARO BLOOM DIAGNOSTICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGUARO HEALTH & SECURITY LLC",
"enumeration_date": "2020-07-21",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "GREER",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "480-737-3477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "03D2188271",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.