Unique Lab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNIQUE LAB SERVICES, LLC

Practice address

16807 E Palisades Blvd Ste 101
Fountain Hills, AZ 85268-8438

Phone

(480) 765-2677

NPI assigned

Dec 7, 2012

Organization subpart

No

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

Authorized official

Name

Jaime GordonNPI 1720405962

Title

Owner/Manager

Phone

(602) 725-4852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Gordon

  • Technician
  • Fountain Hills, AZ
  • NPI 1720405962
  NPD (past) Authorized official

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1851636435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16457 E BAINBRIDGE AVE",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682721",
            "telephone_number": "602-725-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16807 E PALISADES BLVD STE 101",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688438",
            "telephone_number": "480-765-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE LAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-725-4852"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Teruyo Tsutsui, M.S.
• Michael Tugendhat
• Turnaround Mental Health PLLC
• Mary Elizabeth Tyndall, APRN
• Eve-Noel Uaiwa, CCC-SLP
• Kate Vaiana
• Christina Lynn Vannocker
• Melissa Vega
• Katherine Elizabeth Veit, CF-SLP
• Kathleen Verdon

• Clinical Medical Laboratory in Fountain Hills, AZ
• Providers in Fountain Hills, 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 Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.