NPIMap

Organization Active NPI

Sonora Quest Laboratories, LLC

  • Clinical Medical Laboratory
  • Glendale, AZ
National Provider Identifier
1700973260
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
03D0965633 Issued in AZ
Legal business name
SONORA QUEST LABORATORIES, LLC
Practice address
5605 W Eugie Ave Ste 104
Glendale, AZ 85304-1273
Phone
(602) 978-2441
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mr. Al Namey, CFO
Title
Chief Financial Officer
Phone
(602) 685-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 03D0965633 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 104
Glendale, AZ 85304-1273

Mailing address

PO Box 67150
Phoenix, AZ 85082-7150
Phone (602) 685-5000

Other identifiers 1

IdentifierTypeStateIssuer
452152MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Sonora Quest Laboratories17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1700973260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850827150",
            "telephone_number": "602-685-5000",
            "fax_number": "602-685-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "602-978-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA QUEST LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "NAMEY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "602-685-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D0965633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2016; 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.