Active NPI
Lauren E Moore
- Contractor
- Tucson, AZ
National Provider Identifier
1467771360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 3011610
- Practice address
- 2219 N Ralph Ave
Tucson, AZ 85712-3262 - Phone
- (520) 360-9423
- Fax
- (877) 727-4505
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 3011610 | AZ | Primary |
Addresses
Primary practice location
2219 N Ralph Ave
Tucson, AZ 85712-3262
Mailing address
PO Box 57752
Tucson, AZ 85732-7752
Phone (520) 360-9423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011610 | AZ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Das Phlebotomy Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1558663815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1467771360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57752",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857327752",
"telephone_number": "520-360-9423",
"fax_number": "877-727-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 N RALPH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123262",
"telephone_number": "520-360-9423",
"fax_number": "877-727-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LAUREN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "3011610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.