Organization Active NPI

Phoenix Lab & Ancillary Services

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1417422684
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHOENIX LAB & ANCILLARY SERVICES
Practice address
702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639
Phone
(602) 603-2282
Fax
(602) 603-2283
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Susana Spiegel
Title
Administrator
Phone
(602) 831-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639

Mailing address

14251 N 6TH PL
Phoenix, AZ 85022-4224
Phone (602) 831-4320

National Provider Directory

National Provider Directory

Locations

702 E Bell Rd
Ste 112A
Phoenix, AZ 85022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1417422684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 N 6TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224224",
            "telephone_number": "602-831-4320",
            "fax_number": "602-603-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E BELL RD STE 112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226639",
            "telephone_number": "602-603-2282",
            "fax_number": "602-603-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LAB & ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "SPIEGEL",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-831-4320"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "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 Oct 3, 2018; 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.