CARIS MPI, INC. (NPI# 1013973866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013973866 |
| Entity Type | Organization |
| Organization Name | CARIS MPI, INC. |
| Other Organization Name | CARIS LIFE SCIENCES |
| Practice Address |
4610 South 44th Place Phoenix AZ 85040-4010 |
| Mailing Address |
Po Box 841943 Dallas TX 75284-1943 |
| Practice Telephone | 6024647500 |
| Practice Fax Number | 2145967484 |
| Mailing Telephone | 8776306223 |
| Mailing Fax Number | 2142945690 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | RUSSELL FARR (SVP AND GENERAL COUNSEL) |
| Authorized Official Telephone | 2142945558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 03D1019490 | AZ | Laboratories |
| Other Name | Type Code |
|---|---|
| Caris Life Sciences | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043589161 | Caris Mpi, Inc. | Clinical Medical Laboratory | 6655 N Macarthur Blvd, 3rd Floor, Irving, TX 75039-2443 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CARIS MPI, INC. | 8400 Esters Blvd, Ste 2650, Phoenix, AZ 85004 |
| Street Address |
4610 SOUTH 44TH PLACE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114911211 | David Albert Bryant | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2005-09-02 |
| 1871863035 | Caris Science, Inc. | Clinical Medical Laboratory | 4610 South 44th Place, Building 16, Phoenix, AZ 85040 | 2012-01-05 |
| 1548539661 | Caris Molecular Pathology | Pathology | 4610 South 44th Place, Phoenix, AZ 85040 | 2011-12-19 |
| 1790918373 | Wen-hsiang Wen | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2009-08-28 |
| 1841426202 | Hany Magharyous | Pathology | 4610 South 44th Place, Phoenix, AZ 85040 | 2009-05-29 |
| 1447450598 | Jose Luis De Los Santos | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2007-07-18 |
| 1669557757 | Alden F Kielhorn | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2006-10-26 |
| 1124137914 | Zoran Gatalica | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2006-08-29 |
| 1669497657 | Curtis A Johnston | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2006-07-12 |
| 1609822766 | Pushpa Gupta | Pathology | 4610 South 44th Place, Phoenix, AZ 85040-4010 | 2006-05-26 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.