Medscope Laboratories,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03D2085583 Issued in AZ

Legal business name

MEDSCOPE LABORATORIES,LLC

Practice address

2122 W Lone Cactus Dr
Suite 11
Phoenix, AZ 85027-2650

Phone

(480) 639-7806

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. M Harroon Malik, M.D.

Title

Owner

Phone

(480) 703-3999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1982071098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 W LONE CACTUS DR",
            "address_2": "SUITE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272650",
            "telephone_number": "480-639-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 W LONE CACTUS DR",
            "address_2": "SUITE 11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272650",
            "telephone_number": "480-639-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSCOPE LABORATORIES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "HARROON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-703-3999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D2085583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, 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 Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.