Lakeview Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAKEVIEW LAB

Practice address

13090 N 94TH Dr
Peoria, AZ 85381-4256

Phone

(623) 993-8802

Fax

(623) 977-2144

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Catherine A Fisher, M.D.NPI 1366621278

Title

President

Phone

(623) 933-8802

Specialties & licenses 1

Addresses

Other names 1

• FISHER MEDICAL GROUP Doing business as

Locations

Practitioners 1

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

• Catherine Anne Fisher, MD

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1366621278
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871610030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-993-8802",
            "fax_number": "623-977-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-993-8802",
            "fax_number": "623-977-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-933-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FISHER MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Peoria, AZ
• Providers in Peoria, 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 Aug 22, 2020; 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.