Arizona Statewide Anatomic Pathology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

07421933U Issued in AZ

Legal business name

ARIZONA STATEWIDE ANATOMIC PATHOLOGY INC

Practice address

8361 E Evans Rd
#107
Scottsdale, AZ 85260-3617

Phone

(480) 948-4015

NPI assigned

May 12, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren Gillette, M.D.

Title

Medical Director

Phone

(480) 948-4015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1427008002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 E EVANS RD",
            "address_2": "#107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603617",
            "telephone_number": "480-948-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8361 E EVANS RD",
            "address_2": "#107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603617",
            "telephone_number": "480-948-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATEWIDE ANATOMIC PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-948-4015",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "07421933U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Scottsdale, AZ
• Providers in Scottsdale, 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 Oct 16, 2007; 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.