Organization Active NPI

Arizona Business & Career Development LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1780936807
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ARIZONA BUSINESS & CAREER DEVELOPMENT LLC
Practice address
3418 E Indian School Rd
Phoenix, AZ 85018-5113
Phone
(602) 888-7191
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Randy Mallari, NCPT4, CPI, BHT
Title
Manager
Phone
(602) 888-7191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3418 E Indian School Rd
Phoenix, AZ 85018-5113

Mailing address

3609 S 52ND Dr
Phoenix, AZ 85043-1771
Phone (602) 888-7191

Other identifiers 1

IdentifierTypeStateIssuer
03D2046159OtherCLIA ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1780936807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 S 52ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431771",
            "telephone_number": "602-888-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185113",
            "telephone_number": "602-888-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BUSINESS & CAREER DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-888-7191",
        "authorized_official_credential": "NCPT4, CPI, BHT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "03D2046159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.