Elite Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELITE DIAGNOSTICS

Practice address

1311 Loren Dr
Prescott, AZ 86305-2875

Phone

(970) 690-2768

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Earl McCrea

Title

Owner/Operator

Phone

(970) 690-2768

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1962946624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 LOREN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052875",
            "telephone_number": "970-690-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LOREN DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052875",
            "telephone_number": "970-690-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "970-690-2768"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad-Ali El-Harakeh, MD
• Ashraf Elamin
• Elementary Nutrition
• James D. Eliason, M.D.
• Amanda Joan Eliseo, LPC
• Joshua L. Elkin, MD
• Ellen F Bunch MD PLLC
• Aaron Elliott, RN
• Sarah Elizabeth Elliott, RN
• Melissa Ellis

• Clinical Medical Laboratory in Prescott, AZ
• Providers in Prescott, 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 Dec 14, 2016; 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.