Organization Active NPI

Reliable Diagnostic Laboratory LLC

  • Durable Medical Equipment & Medical Supplies
  • Flagstaff, AZ
National Provider Identifier
1619806940
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RELIABLE DIAGNOSTIC LABORATORY LLC
Practice address
1501 S Yale St Ste 152
Flagstaff, AZ 86001-7337
Phone
(254) 747-5243
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Rashid Shamsulhoda Khan
Title
Owner
Phone
(254) 747-5243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1501 S Yale St Ste 152
Flagstaff, AZ 86001-7337

Mailing address

1501 S Yale St Ste 152
Flagstaff, AZ 86001-7337
Phone (254) 747-5243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1619806940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 152",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "telephone_number": "254-747-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST STE 152",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "telephone_number": "254-747-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RASHID SHAMSULHODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-747-5243"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.