Mission Laboratory Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MISSION LABORATORY SERVICES LLC

Practice address

4400 N Scottsdale Rd
Ste 9-311
Scottsdale, AZ 85251-3331

Phone

(949) 233-5491

Fax

(951) 384-2820

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Ron Lazatin

Title

President

Phone

(949) 233-5491

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1831641224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD",
            "address_2": "STE 9-311",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "949-233-5491",
            "fax_number": "951-384-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SCOTTSDALE RD",
            "address_2": "STE 9-311",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513331",
            "telephone_number": "949-233-5491",
            "fax_number": "951-384-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-233-5491"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandana Mishra, MD
• Nitin Mishra, M.D.
• Sneha Mishra, MD
• Hara P Misra, M.D.
• Tejal Misra, LCSW
• Mission Treatment Centers, Inc.
• Mississippi Urgent Care Provider Network, LLC
• Missouri Urgent Care Provider Network, LLC
• John Mistalski
• Amish Mistri

• Clinical Medical Laboratory in Scottsdale, AZ
• Providers in Scottsdale, 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 Nov 1, 2016; 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.