Organization Active NPI

Saguaro Bloom Diagnostics LLC

  • Clinical Medical Laboratory
  • Scottsdale, AZ
National Provider Identifier
1336757780
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Jesse Greer, MDNPI 1528396132
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03D2188271OtherAZCLIA 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.

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.

Verify at the official NPI Registry.