PHS Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

85278204 Issued in NC

Legal business name

PHS LABS

Practice address

2885 Sanford Ave SW # 23719
Grandville, MI 49418-1342

Phone

(425) 606-5304

NPI assigned

May 10, 2014

Organization subpart

No

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

Authorized official

Name

Anne Edwards, PHD

Title

Authorized Official

Phone

(425) 606-5304

Specialties & licenses 1

Addresses

Tax ID family

PHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PHS

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1437290426
  NPD tax ID

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

{
    "created_epoch": "1399680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399680000000",
    "number": "1356752547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 SANFORD AVE SW # 23719",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 SANFORD AVE SW # 23719",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181342",
            "telephone_number": "425-606-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHS LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-10",
        "last_updated": "2014-05-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-606-5304",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "85278204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Grandville, MI
• Providers in Grandville, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2014; 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.