Organization Active NPI

Desert Tox Services, LLC

  • Clinical Medical Laboratory
  • Glendale, AZ
National Provider Identifier
1679075097
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DESERT TOX SERVICES, LLC
Practice address
18862 N 77TH Ave
Glendale, AZ 85308-5955
Phone
(310) 503-9177
Fax
(928) 255-4817
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Authorized official

Name
Frank Affinito
Title
Owner
Phone
(310) 503-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18862 N 77TH Ave
Glendale, AZ 85308-5955

Mailing address

18862 N 77TH Ave
Glendale, AZ 85308-5955
Phone (310) 503-9177

Other names 1

  • Desert Tox Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1679075097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18862 N 77TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085955",
            "telephone_number": "310-503-9177",
            "fax_number": "928-255-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18862 N 77TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085955",
            "telephone_number": "310-503-9177",
            "fax_number": "928-255-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT TOX SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "AFFINITO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-503-9177"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Tox Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.