Prime Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIME CLINICAL LABORATORY LLC

Practice address

1501 S Yale St Ste 152
Flagstaff, AZ 86001-7337

Phone

(213) 582-5482

Fax

(312) 395-7290

NPI assigned

Apr 22, 2026

Last updated

Jun 15, 2026By 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

Mr. Rashid Shamsulhoda KhanNPI 1215872445

Title

Owner

Phone

(213) 582-5482

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rashid Shamsulhoda Khan

  • Emergency Medicine Physician
  • Flagstaff, AZ
  • NPI 1215872445
  NPD Authorized official

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1346185584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 152",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "telephone_number": "213-582-5482",
            "fax_number": "312-395-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 152",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "telephone_number": "213-582-5482",
            "fax_number": "312-395-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RASHID SHAMSULHODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-582-5482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Preston, M.D.
• Sarah McNaughton Preston, FNP
• Robin Price
• William Price Jr.
• Rachel Aurora Prieto, DDS
• Primo Counseling Services
• Professional Pathology Associates, PC
• Proforma Health PLLC (Munderloh Chiropractic)
• Proof Physical Therapy and Performance, LLC
• Natalie Kiel Provencher

• Clinical Medical Laboratory in Flagstaff, AZ
• Providers in Flagstaff, 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 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.