Organization Active NPI

Inform Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1972748424
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.) Former legal business name
  • (f/k/a Miraca Life Sciences Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1064744Inform Diagnostics, Inc501 N 44TH St Ste 200, Phoenix, AZ 85008AccreditationAug 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Miraca Life Sciences Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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

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.

Verify at the official NPI Registry.