Organization Active NPI

Emg Diagnostic Testing Services LLC

  • Health Service Clinic/Center
  • Yuma, AZ
National Provider Identifier
1508520495
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EMG DIAGNOSTIC TESTING SERVICES LLC
Practice address
1244 S Sunset Dr
Yuma, AZ 85364-4485
Phone
(928) 750-2635
NPI assigned
Oct 26, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erica Marie GashNPI 1366565111
Title
Owner
Phone
(928) 235-9785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

NPPES NPI Registry

Primary practice location

1244 S Sunset Dr
Yuma, AZ 85364-4485

Mailing address

1244 S Sunset Dr
Yuma, AZ 85364-4485
Phone (928) 235-9785

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2021.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1508520495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 S SUNSET DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644485",
            "telephone_number": "928-235-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 S SUNSET DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644485",
            "telephone_number": "928-750-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG DIAGNOSTIC TESTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "GASH",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-235-9785"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.