Organization Active NPI

Embry Laboratories LLC

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1831780402
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EMBRY LABORATORIES LLC
Practice address
2005 W 14TH St # 118
Tempe, AZ 85281-6925
Phone
(480) 376-2170
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Mr. Raymond S Embry IV
Title
Owner
Phone
(480) 376-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2005 W 14TH St # 118
Tempe, AZ 85281-6925

Mailing address

3370 N Hayden Rd # 123215
Scottsdale, AZ 85251-6632
Phone (480) 376-2170

National Provider Directory

National Provider Directory

Locations

2005 W 14th St
Ste 118
Tempe, AZ 85281
Phone (480) 376-2170

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1831780402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD # 123215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516632",
            "telephone_number": "480-376-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W 14TH ST # 118",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816925",
            "telephone_number": "480-376-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRY LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "EMBRY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-376-2170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "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 Aug 9, 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.