NPIMap

Organization Active NPI

Arizona State University

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1467079020
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ARIZONA STATE UNIVERSITY
Practice address
1001 S McAllister Ave
Tempe, AZ 85281-2115
Phone
(480) 727-8322
NPI assigned
Jun 30, 2020
Organization subpart
Yes
Parent organization
ARIZONA STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Heather C. Clark
Title
Executive Director
Phone
(480) 727-5594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1001 S McAllister Ave
Tempe, AZ 85281-2115

Mailing address

1475 N Scottsdale Rd Ste 200
Scottsdale, AZ 85257-3538
Phone (480) 965-4544

Other names 1

  • Arizona State University BioDesign Clinical Testing Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arizona State University Campus Health Pharmacy13 organizations share this tax ID, including this one
Part of
Arizona State University Campus Health Pharmacy

Other organizations with this tax ID 12

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

Locations

1475 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (310) 295-0242

1001 S McAllister Ave
Tempe, AZ 85281
Phone (480) 727-8322

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1467079020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573538",
            "telephone_number": "480-965-4544",
            "fax_number": "480-884-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MCALLISTER AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812115",
            "telephone_number": "480-727-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA STATE UNIVERSITY",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-727-5594"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona State University BioDesign Clinical Testing Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.