Organization Active NPI

High Demand Diagnostics LLC

  • Point of Service
  • Goodyear, AZ
National Provider Identifier
1396461455
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
HIGH DEMAND DIAGNOSTICS LLC
Practice address
13291 W McDowell Rd Ste E
Goodyear, AZ 85395-2634
Phone
(520) 990-4389
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Nicosia King
Title
Owner
Phone
(262) 748-2596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

13291 W McDowell Rd Ste E
Goodyear, AZ 85395-2634

Mailing address

15726 W Jackson St
Goodyear, AZ 85338-6704
Phone (262) 748-2596

National Provider Directory

National Provider Directory

Locations

13291 W McDowell Rd
Ste E
Goodyear, AZ 85395
Phone (520) 990-4389

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1396461455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15726 W JACKSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386704",
            "telephone_number": "262-748-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "520-990-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DEMAND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICOSIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-748-2596"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.