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MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL NPI 1417204157


NPI Information

NPI: 1417204157
Provider Name: MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 03D0057138

Address:
1645 E ROOSEVELT STREET
PHOENIX, AZ
ZIP 85006
Phone: (602) 506-6997
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MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL is a clinical medical laboratory in Phoenix, AZ. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL NPI is 1417204157. The provider is registered as an organization entity type.

The provider's business location address is:

1645 E ROOSEVELT STREET
PHOENIX, AZ
ZIP 85006
Phone: (602) 506-6997
Fax: (602) 372-0342

The provider's authorized official is Corinne Velasquez .
The authorized official title is Clinical Administrator and has the following contact phone number (602) 506-6657.

The CLIA number assigned to this NPI record is 03D0057138 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/13/2012 and was last updated on 8/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryAZ016ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1099267MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.