Superior Mobile Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUPERIOR MOBILE LABS, LLC

Practice address

2050 E University Dr Ste 5
Phoenix, AZ 85034-6700

Phone

(602) 499-2672

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Authorized Agents

Title

Organizer

Phone

(602) 499-2672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1780161562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2135",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852442135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E UNIVERSITY DR STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346700",
            "telephone_number": "602-499-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILE LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "AGENTS",
        "authorized_official_first_name": "AUTHORIZED",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "602-499-2672"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mustafa Suppah, MD
• Jayanthi Suppiah, M.D.

• 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 Mar 1, 2022; 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.