Arizona Clinical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ARIZONA CLINICAL LABORATORY LLC

Practice address

2197 N Camino Principal Ste 159
Tucson, AZ 85715-5309

Phone

(480) 300-6042

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Ruben Contreras

Title

Owner

Phone

(480) 300-6042

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1992540538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 N CAMINO PRINCIPAL STE 159",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155309",
            "telephone_number": "480-300-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 N CAMINO PRINCIPAL STE 159",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155309",
            "telephone_number": "480-300-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CLINICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-300-6042"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.