Phoenix Labs LLC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

BL155832 Issued in AR

Legal business name

PHOENIX LABS LLC

Practice address

11908 Kanis Rd Ste G8
Little Rock, AR 72211-3773

Phone

(501) 228-5556

Fax

(501) 228-5558

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Erin C Thomas

Title

HR

Phone

(501) 227-7688

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1760994453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 KANIS RD STE G8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113773",
            "telephone_number": "501-228-5556",
            "fax_number": "501-228-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 KANIS RD STE G8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113773",
            "telephone_number": "501-228-5556",
            "fax_number": "501-228-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "501-227-7688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "AR",
            "license": "BL155832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "BL155832",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE SALES TAX ID",
            "identifier": "66366858-SLS",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Phillips, QBHP
• Sarah Fuller Phillips, MHPP
• Sarah Grace Phillips, LAC
• Sarah T. S. Phillips, LCSW
• Dawn Jay Philpott, MED
• Nirmal Kumar Phulwani, M.B.B.S.
• Linh Phung
• Physical Therapy Advantage, LLC
• Physical Therapy Institute
• Physician'S Day Surgery Center

• Clinical Laboratory Director (Non-physician) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Laboratory Director (Non-physician) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.