Organization Active NPI

Hemex Laboratories LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1972637817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HEMEX LABORATORIES LLC
Practice address
2505 W Beryl Ave
Phoenix, AZ 85021-1641
Phone
(602) 997-9161
Fax
(602) 997-1406
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David E Berg, MS
Title
LLC Manager
Phone
(602) 997-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AZ Primary

Addresses

Primary practice location

2505 W Beryl Ave
Phoenix, AZ 85021-1641

Mailing address

2505 W Beryl Ave
Phoenix, AZ 85021-1641
Phone (602) 997-9161

Other identifiers 1

IdentifierTypeStateIssuer
2719101OtherAZCAP LAP #

National Provider Directory

National Provider Directory

Locations

2505 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 808-2813

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972637817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211641",
            "telephone_number": "602-997-9161",
            "fax_number": "602-997-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211641",
            "telephone_number": "602-997-9161",
            "fax_number": "602-997-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMEX LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "602-997-9161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP   LAP #",
            "identifier": "2719101",
            "state": "AZ"
        }
    ],
    "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 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.