Organization Active NPI

Cov10 Plus Testing Laboratory

Doing business as medical laboratory

  • Clinical Medical Laboratory
  • Chandler, AZ
National Provider Identifier
1760089080
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COV10 PLUS TESTING LABORATORY
Doing business as
medical laboratory
Practice address
590 N Alma School Rd Ste 7
Chandler, AZ 85224-4382
Phone
(480) 781-8199
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Rustom Testing Ali, PHDNPI 1790190155
Title
Consultant
Phone
(480) 703-4227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

590 N Alma School Rd Ste 7
Chandler, AZ 85224-4382

Mailing address

590 N Alma School Rd Ste 7
Chandler, AZ 85224-4382
Phone (480) 781-8199

Other names 1

  • medical laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

590 N Alma School Rd
Ste 7
Chandler, AZ 85224
Phone (480) 781-8199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1760089080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244382",
            "telephone_number": "480-781-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 7",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244382",
            "telephone_number": "480-781-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COV10 PLUS TESTING LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RUSTOM",
        "authorized_official_middle_name": "TESTING",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "480-703-4227",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medical laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.