Active NPI
Desert Tox Services, LLC
- Clinical Medical Laboratory
- Glendale, AZ
National Provider Identifier
1679075097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.