GREYSKY DIAGNOSTICS LLC


Address: 906 W Roosevelt St Ste 2, Phoenix, AZ 85007-2106
Phone: (844) 803-5624

GREYSKY DIAGNOSTICS LLC (NPI# 1104346386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104346386
Entity Type Organization
Organization Name GREYSKY DIAGNOSTICS LLC
Practice Address 906 W Roosevelt St Ste 2
Phoenix
AZ 85007-2106
Practice Telephone (844) 803-5624
Mailing Telephone 8448035624
Enumeration Date 2017-06-20
Last Update Date 2017-06-20
Authorized Official Name CARIN HINES (CEO)
Authorized Official Telephone 8448035624
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory AZ Laboratories

Office Location

Street Address 906 W ROOSEVELT ST STE 2
City PHOENIX
State AZ
Zip Code 85007-2106

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1730441825 Sara Joyce Edmund Nurse Practitioner 1424 S 7th Avenue, Phoenix, AZ 85007 2012-06-13
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1518924802 Michael James Higbee Physician Assistant 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 2006-04-28
1942278676 David Paul Brown Emergency Medicine 1201 S 7 Avenue, Phoenix, AZ 85007 2006-03-09
1265409759 Carol D Watkins Emergency Medicine 1201 S 7th Avenue, Phoenix, AZ 85007 2006-03-02
1982695615 Mary Pat Nesbit Emergency Medicine 1201 S 7th Ave, Phoenix, AZ 85007 2005-11-02
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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City PHOENIX
Zip Code 85007

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Dataset Information

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.

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