GONDRA CENTER FOR IVF LABORATORIES (NPI# 1073973558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073973558 |
Entity Type | Organization |
Organization Name | GONDRA CENTER FOR IVF LABORATORIES |
Practice Address |
20940 N Tatum Blvd Ste B210 Phoenix AZ 85050-4265 |
Practice Telephone | 4806216203 |
Practice Fax Number | 4806216331 |
Mailing Telephone | 4806216203 |
Mailing Fax Number | 4806216331 |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |
Authorized Official Name | DR. MARIA M GONDRA (DOCTOR) |
Authorized Official Telephone | 4802408815 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | GONDRA CENTER FOR REPRODUCTIVE CARE & ADVANCED GYNECOLOGY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 44933 | AZ | Laboratories |
Street Address |
20940 N TATUM BLVD STE B210 |
City | PHOENIX |
State | AZ |
Zip Code | 85050-4265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568460616 | Richard George Keightley | Allergy & Immunology | 20940 N Tatum Blvd, Ste 205, Phoenix, AZ 85050-7260 | 2005-07-12 |
1518328871 | Gondra Center for Reproductive Care & Advanced Gynecology | Obstetrics & Gynecology | 20940 N Tatum Blvd, Ste B210, Phoenix, AZ 85050-4265 | 2016-03-15 |
1386000917 | Advanced Scottsdale Anesthesia LLC | Specialist | 20940 N Tatum Blvd, Phoenix, AZ 85050-4265 | 2016-01-12 |
1568833994 | Scottsdale Dermatology, Ltd | Dermatology | 20940 N Tatum Blvd, Suite 270, Phoenix, AZ 85050-4265 | 2015-10-12 |
1245659531 | Arizona Glaucoma Specialists - North Phoenix, LLC | Ophthalmology | 20940 N Tatum Blvd, Suite 250, Phoenix, AZ 85050-7246 | 2014-04-15 |
1477802981 | Global Sleep | Clinic/Center | 20940 N Tatum Blvd, #325, Phoenix, AZ 85050-4265 | 2012-08-30 |
1174816730 | Emily Edwards Inglhofer | Family Medicine | 20940 N Tatum Blvd, Suite 300, Phoenix, AZ 85050-4265 | 2011-05-16 |
1285963389 | Spine Physicians PC | Family Medicine | 20940 N Tatum Blvd, Suite 350, Phoenix, AZ 85050-4265 | 2009-12-18 |
1114155140 | Chrystal D Lemaster | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-06-29 |
1891929733 | Alethea Y. Turner | Family Medicine | 20940 N Tatum Blvd, Suite 390, Phoenix, AZ 85050-4265 | 2009-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
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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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1417429077 | Tela Ventures, LLC | Clinical Medical Laboratory | 3608 N 56th St, Phoenix, AZ 85018-4536 | 2018-12-20 |
1154809937 | Volentedx Scottsdale, LLC | Clinical Medical Laboratory | 4530 E Shea Blvd Ste 165, Phoenix, AZ 85028-6042 | 2018-08-02 |
1376038950 | Dbw Diagnostics, LLC | Clinical Medical Laboratory | 2414 W Sierra St, Phoenix, AZ 85029-3425 | 2018-06-26 |
1558851519 | Prorenata Labs LLC | Clinical Medical Laboratory | 8222 S 48th St Ste 210, Phoenix, AZ 85044-5303 | 2018-05-15 |
1528561362 | Beacon Biomedical Inc. | Clinical Medical Laboratory | 275 N Gateway Dr Ste 149, Phoenix, AZ 85034-1700 | 2018-03-16 |
1518473263 | Cutaneous Neurodiagnostics, LLC | Clinical Medical Laboratory | 5070 N 40th St Ste 125, Phoenix, AZ 85018-2193 | 2017-12-18 |
1174044127 | Daniel Fernandez Hernandez | Clinical Medical Laboratory | 5323 W Odeum Ln, Phoenix, AZ 85043-6595 | 2017-06-29 |
1104346386 | Greysky Diagnostics LLC | Clinical Medical Laboratory | 906 W Roosevelt St Ste 2, Phoenix, AZ 85007-2106 | 2017-06-20 |
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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.