Organization Active NPI

Ibc Labs LLC

  • Pharmacy
  • Phoenix, AZ
National Provider Identifier
1912827957
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
IBC LABS LLC
Practice address
4539 N 22ND St Ste 13950
Phoenix, AZ 85016-4639
Phone
(770) 383-0468
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
IBC LABS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Ali Bahadur
Title
Ceo
Phone
(770) 383-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

4539 N 22ND St Ste 13950
Phoenix, AZ 85016-4639

Mailing address

15 Sweet Gracie Holw NW
Cartersville, GA 30120-7734
Phone (770) 383-0468

National Provider Directory

National Provider Directory
Tax ID family
Ibc Labs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4539 N 22nd St
Ste 13950
Phoenix, AZ 85016
Phone (770) 383-0468

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1912827957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SWEET GRACIE HOLW NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207734",
            "telephone_number": "770-383-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 13950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "770-383-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBC LABS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBC LABS LLC",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BAHADUR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-383-0468"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.