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PHOENIX TOXICOLOGY & LAB SERVICES NPI 1265789416


NPI Information

NPI: 1265789416
Provider Name: PHOENIX TOXICOLOGY & LAB SERVICES

Former Legal Business Name: SUMMIT TESTING, LLC

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 03D2268441

Address:
2432 W PEORIA AVE
SUITE 1064
PHOENIX, AZ
ZIP 85029
Phone: (602) 678-5400
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PHOENIX TOXICOLOGY & LAB SERVICES 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. PHOENIX TOXICOLOGY & LAB SERVICES NPI is 1265789416. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Summit Testing, Llc.

The provider's business location address is:

2432 W PEORIA AVE
SUITE 1064
PHOENIX, AZ
ZIP 85029-726
Phone: (602) 678-5400
Fax: (602) 678-5401

The provider's authorized official is Jonathan Morton .
The authorized official title is Managing Member and has the following contact phone number (602) 678-5400.

The CLIA number assigned to this NPI record is 03D2268441 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 3/14/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1822423MEDICAIDARIZONA

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: 5/5/2024

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