Beechtree Diagnostics LLP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BEECHTREE DIAGNOSTICS LLP

Practice address

41818 N Venture Dr Ste 150
Anthem, AZ 85086-3190

Phone

(602) 881-7810

NPI assigned

Feb 22, 2019

Organization subpart

Yes

Parent organization

BEECHTREE DIAGNOSTICS LLPAs reported in NPPES

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

Authorized official

Name

Matthew Seaman-Hyatt Chambers, MHA

Title

Chief Executive Officer

Phone

(801) 893-2773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BEECHTREE DIAGNOSTICS LLC Doing business as

Tax ID family

Beechtree Diagnostics LLP2 organizations share this tax ID, including this one

Part of

Beechtree Diagnostics LLP

Other organizations with this tax ID 1

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

• Beechtree Diagnostics LLP

  • Clinical Medical Laboratory
  • Draper, UT
  • NPI 1215302245
  NPD tax ID

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1396202602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35146",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245146",
            "telephone_number": "801-893-2773",
            "fax_number": "801-683-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR STE 150",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863190",
            "telephone_number": "602-881-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHTREE DIAGNOSTICS LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEECHTREE DIAGNOSTICS LLP",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SEAMAN-HYATT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-893-2773",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "46D2103212",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEECHTREE DIAGNOSTICS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEECHTREE DIAGNOSTICS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Baron, PH.D.
• Angela Chun Baskin, D.D.S.
• Vincen Bateman Jr.
• Margaret Baumgartner
• Cynthia L. Beanblossom, M.ED., LPC
• Hannah Beer, LPC
• Kyle Steven Bergeson, DPT
• Tara Berkley
• Nicole Besana, PT
• Best Life Family Medicine PLLC

• Clinical Medical Laboratory in Anthem, AZ
• Providers in Anthem, 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 Sep 22, 2021; 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.