Organization Active NPI

Suebeck Lab Services, LLC

  • Public Health or Welfare Agency
  • Phoenix, AZ
National Provider Identifier
1407686819
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SUEBECK LAB SERVICES, LLC
Practice address
3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Phone
(888) 543-9065
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Susan Zingaro
Title
Manager
Phone
(888) 543-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616

Mailing address

2567 N Calle Quinto
Huachuca City, AZ 85616-8204
Phone (806) 781-0858

Other practice location 1

2020 N Academy Blvd Ste 261
Colorado Springs, CO 80909-1567
Phone (888) 543-9065

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2309251Suebeck Lab Services, LLC3101 N Central Ave Ste 183 #5175, Phoenix, AZ 85012Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1407686819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 N CALLE QUINTO",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168204",
            "telephone_number": "806-781-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 183",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123616",
            "telephone_number": "888-543-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 N Academy Blvd Ste 261",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091567",
            "country_code": "US",
            "telephone_number": "888-543-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUEBECK LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ZINGARO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-543-9065"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 2, 2024; 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.