NPIMap

Organization Active NPI

Embry Testing and Vaccine Services of Nevada LLC

Doing business as Embry Healthcare

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1346994985
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EMBRY TESTING AND VACCINE SERVICES OF NEVADA LLC
Doing business as
Embry Healthcare
Practice address
4717 E Hilton Ave Ste 250
Phoenix, AZ 85034-6400
Phone
(480) 701-3322
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Raymond Embry
Title
Ceo
Phone
(480) 376-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4717 E Hilton Ave Ste 250
Phoenix, AZ 85034-6400

Mailing address

PO Box 62043
Phoenix, AZ 85082-2043

Other names 1

  • Embry Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1346994985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62043",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850822043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 E HILTON AVE STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346400",
            "telephone_number": "480-701-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY TESTING AND VACCINE SERVICES OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-376-2170"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embry Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.