Active NPI
Inform Diagnostics, Inc.
- Clinical Medical Laboratory
- Phoenix, AZ
National Provider Identifier
1972748424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- INFORM DIAGNOSTICS, INC.
- Practice address
- 501 N 44TH St Ste 200
Phoenix, AZ 85008-6535 - Phone
- (866) 588-3280
- Fax
- (972) 767-0225
- NPI assigned
- Dec 12, 2008
- Last updated
- Nov 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jian Xie
- Title
- Coo
- Phone
- (626) 350-0537
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
501 N 44TH St Ste 200
Phoenix, AZ 85008-6535
Mailing address
1111 S Freeport Pkwy
Attn: Provider Enrollment/Credentialing
Coppell, TX 75019-4435
Phone (866) 588-3280
Other names 2
- (f/k/a Caris Diagnostics, Inc.)
- (f/k/a Miraca Life Sciences
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070822000385 | AZ | Part B Supplier - Independent Clinical Laboratory | 2567355233 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Phoenix, AZ |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Coppell, TX
- NPI 1467433292
O20070822000385
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1064744 | Inform Diagnostics, Inc | Accreditation | Aug 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Miraca Life Sciences Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Ladera Ranch, CA
- NPI 1083490437
-
- Clinical Medical Laboratory
- Alpharetta, GA
- NPI 1194676528
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1629929054
-
- Anatomic Pathology & Clinical Pathology Physician
- Oceanside, CA
- NPI 1710782388
-
- Clinical & Laboratory Dermatological Immunology Physician
- Brecksville, OH
- NPI 1760287445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1972748424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S FREEPORT PKWY",
"address_2": "ATTN: PROVIDER ENROLLMENT/CREDENTIALING",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194435",
"telephone_number": "866-588-3280",
"fax_number": "972-767-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 44TH ST STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086535",
"telephone_number": "866-588-3280",
"fax_number": "972-767-0225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFORM DIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "XIE",
"authorized_official_first_name": "JIAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "626-350-0537"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "(f/k/a Caris Diagnostics, Inc.)",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "(f/k/a Caris Diagnostics, Inc.)",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "(f/k/a Miraca Life Sciences",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Phoenix, AZ
- Infinity Groups Homes LLC
- Infinity Groups Homes LLC
- Infinity Groups Homes LLC
- Infinity Med Trans LLC
- Infinity Medical Providers LLC (Infinity Medical Providers)
- Infusion Management, Inc. (Infusion For Health)
- Timothy J Ingall, M.D.
- Maria Ingalla, PMHNP-BC
- Hailey Samantha Inge, DPT
- Kristy R Ingebo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.