Individual provider Active NPI

Youssef Al Sheikh, PHD

  • Clinical Laboratory Director (Non-physician)
  • Tempe, AZ
National Provider Identifier
1811249212
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
3792 Issued in IL
Practice address
524 W Broadway Rd
Tempe, AZ 85282-1338
Phone
(801) 739-7395
NPI assigned
Oct 9, 2012
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3792 IL
Physiological Laboratory 293D00000X NU
Research Study Specialist 1744R1102X NU
Chemistry Pathology Specialist/Technologist 246QC1000X 3792 IL
Health Information Specialist/Technologist 246Y00000X NU
Biomedical Engineer 246ZB0301X NU
Biochemist 246ZB0500X NU
Health Educator 174H00000X NU
Clinical Laboratory Director (Non-physician) 247ZC0005X 3792 IL Primary

Addresses

Primary practice location

524 W Broadway Rd
Tempe, AZ 85282-1338

Mailing address

524 W Broadway Rd
Tempe, AZ 85282-1338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3792ILMDChemistry Pathology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1811249212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821338",
            "telephone_number": "801-739-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SHEIKH",
        "first_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "3792",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "IL",
            "license": "3792",
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZB0301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biomedical Engineering",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZB0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biochemist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "IL",
            "license": "3792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.