Organization Active NPI

Crestwell Health LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1962326637
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CRESTWELL HEALTH LLC
Practice address
3838 N Central Ave Ste 922
Phoenix, AZ 85012-1906
Phone
(951) 295-8304
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Mubeen Nisar
Title
Owner
Phone
(626) 997-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3838 N Central Ave Ste 922
Phoenix, AZ 85012-1906

Mailing address

3838 N Central Ave Ste 900
Phoenix, AZ 85012-1999
Phone (951) 295-8304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1962326637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 900",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121999",
            "telephone_number": "951-295-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 922",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121906",
            "telephone_number": "951-295-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "MUBEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-997-6541"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Sep 9, 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.