Desert Cryobank Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

11933 Issued in AZ

Legal business name

DESERT CRYOBANK INC

Practice address

3125 N 32ND St
Suite 250
Phoenix, AZ 85018-6281

Phone

(602) 956-7481

Fax

(602) 956-7591

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sujatha Gunnala, M.D.

Title

Laboratory Director

Phone

(602) 956-7481

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1629254644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N 32ND ST",
            "address_2": "SUITE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186281",
            "telephone_number": "602-956-7481",
            "fax_number": "602-956-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CRYOBANK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GUNNALA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "602-956-7481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "AZ",
            "license": "11933",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "11933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Care Behavior LLC
• Desert Center for Allergy and Chest Diseases
• Desert Center for Conscious Evolution, LLC
• Desert Chiropractic, Inc.
• Desert Clover Psychiatry, LLC
• Desert Darlings Daycare & Preschool Inc.
• Desert Dawn Healthcare, Inc
• Desert Dawn Healthcare, Inc
• Desert Dentistry, PLLC
• Desert Dentistry, PLLC

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, 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 Apr 10, 2008; 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.