Organization Active NPI

Iron Horse Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1790244168
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IRON HORSE DIAGNOSTICS, INC.
Practice address
124 W Thomas Rd Ste 200
Phoenix, AZ 85013-4416
Phone
(602) 617-7609
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Michael Hull
Title
Coo
Phone
(602) 617-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

124 W Thomas Rd Ste 200
Phoenix, AZ 85013-4416

Mailing address

21053 N 75TH St
Scottsdale, AZ 85255-4771
Phone (602) 617-7609

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1790244168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21053 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554771",
            "telephone_number": "602-617-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134416",
            "telephone_number": "602-617-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HORSE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-617-7609"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 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.