220 Lab Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

220 LAB GROUP LLC

Doing business as

Advanced Diagnostic Labs

Practice address

22505 N 19TH Ave
Phoenix, AZ 85027-2161

Phone

(623) 234-9446

Fax

(623) 234-9448

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joe Emil Joseph Schmidt

Title

President

Phone

(623) 234-9446

Specialties & licenses 1

Addresses

Other names 1

• Advanced Diagnostic Labs Doing business as

Locations

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1740747849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272161",
            "telephone_number": "623-234-9446",
            "fax_number": "623-234-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272161",
            "telephone_number": "623-234-9446",
            "fax_number": "623-234-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "220 LAB GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JOE EMIL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-234-9446"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostic Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, 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 Feb 25, 2019; 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.