Active NPI
Sybro Diagnostics LLC
- Clinical Medical Laboratory
- Phoenix, AZ
National Provider Identifier
1649136839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SYBRO DIAGNOSTICS LLC
- Practice address
- 10443 N Cave Creek Rd Ste 105
Phoenix, AZ 85020-1617 - Phone
- (518) 920-8282
- NPI assigned
- Dec 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Imran Ali Shah
- Title
- Owner
- Phone
- (518) 920-8282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
10443 N Cave Creek Rd Ste 105
Phoenix, AZ 85020-1617
Mailing address
2011 State Route 9 , Lake George, Ny 12845
Lake George, NY 12845-4003
Phone (518) 920-8282
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2332019 | Sybro Diagnostics | Registration | Oct 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
3101 N Central Ave
Ste 1836388
Phoenix, AZ 85012
10443 N Cave Creek Rd
Ste 105
Phoenix, AZ 85020
Phone (518) 920-8282
2011 State Route 9
Lake George, NY 12845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1649136839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 STATE ROUTE 9 , LAKE GEORGE, NY 12845",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128454003",
"telephone_number": "518-920-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10443 N CAVE CREEK RD STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850201617",
"telephone_number": "518-920-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYBRO DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "SYED IMRAN ALI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-920-8282"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.