Medlab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDLAB LLC

Practice address

2655 W Guadalupe Rd
St # 22
Mesa, AZ 85202-7245

Phone

(480) 491-2224

Fax

(480) 491-5584

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Arshadullah Syed

Title

C.E.O

Phone

(630) 677-5272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1710375076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD",
            "address_2": "ST # 22",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "480-491-2224",
            "fax_number": "480-491-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD",
            "address_2": "ST # 22",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "480-491-2224",
            "fax_number": "480-491-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "ARSHADULLAH",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "630-677-5272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Mesa, AZ
• Providers in Mesa, 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 Jan 8, 2015; 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.