TRI-VALLEY CLINICAL LABORATORY INC (NPI# 1639163900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639163900 |
| Entity Type | Organization |
| Organization Name | TRI-VALLEY CLINICAL LABORATORY INC |
| Practice Address |
1281 E Cottonwood Ln Casa Grande AZ 85222-2949 |
| Practice Telephone | 5208765770 |
| Practice Fax Number | 5208765767 |
| Mailing Telephone | 5208765770 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD WILTON HILL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5208765770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 16840 | AZ | Laboratories |
| Street Address |
1281 E COTTONWOOD LN |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987904 | Gustavo Miguel Banti | Urology | 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | 2005-07-28 |
| 1609359215 | Jordan Mckenzie Creed | Physician Assistant | 1281 E Cottonwood Ln, Casa Grande, AZ 85122 | 2018-09-10 |
| 1720596935 | Alliance Oncology of Arizona, LLC | Specialist | 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | 2018-01-22 |
| 1891997250 | Desert Rose Oncology,llc | Radiology | 1281 E Cottonwood Ln, Casa Grande, AZ 85222-2949 | 2007-06-05 |
| 1528095262 | Ramon Sabastian Mourelo | Specialist | 1281 E Cottonwood Ln, Casa Grande, AZ 85122-2949 | 2006-06-27 |
| 1407828742 | Nelson Lim | Internal Medicine | 1281 E Cottonwood Ln, Casa Grande, AZ 85222-2949 | 2006-02-02 |
| 1588657498 | Inna Ogandzhanova | Radiology | 1281 E Cottonwood Ln, Casa Grande, AZ 85222-2949 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003102120 | Community Bridges, Inc. | Clinical Medical Laboratory | 675 E Cottonwood Ln Ste 140, Casa Grande, AZ 85122-2023 | 2011-06-27 |
| 1861865578 | National Vascular Institute, LLC | Clinical Medical Laboratory | 803 N Salk Dr, Casa Grande, AZ 85122-5447 | 2015-11-03 |
| 1295159226 | Sun Life Family Health Center, Inc. | Clinical Medical Laboratory | 865 N Arizola Rd, Casa Grande, AZ 85122-6011 | 2014-02-11 |
| 1740546985 | Community Bridges, Inc | Clinical Medical Laboratory | 675 E Cottonwood Ln, Suite 104, Casa Grande, AZ 85122-2032 | 2012-04-02 |
| 1922364157 | Community Bridges, Inc | Clinical Medical Laboratory | 675 E Cottonwood Ln, Suite 101, Casa Grande, AZ 85122-2032 | 2012-04-02 |
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|---|---|---|---|---|
| 1588261804 | Cov19 Plus Testing Laboratory | Clinical Medical Laboratory | 793 N Alma School Rd # D1, Chandler, AZ 85224-3681 | 2020-10-09 |
| 1760089080 | Cov10 Plus Testing Laboratory | Clinical Medical Laboratory | 590 N Alma School Rd Ste 7, Chandler, AZ 85224-4382 | 2020-10-09 |
| 1841807492 | Prn Diagnostics LLC | Clinical Medical Laboratory | 7007 E Main St, Mesa, AZ 85207-8204 | 2020-09-28 |
| 1841803939 | Sochilt Brown | Clinical Medical Laboratory | 41810 N Venture Dr Ste 152, Anthem, AZ 85086-3169 | 2020-08-28 |
| 1043821051 | Spectacular Med LLC | Clinical Medical Laboratory | 9989 N 95th St, Scottsdale, AZ 85258-4596 | 2020-08-12 |
| 1336757780 | Saguaro Health & Security LLC | Clinical Medical Laboratory | 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 | 2020-07-21 |
| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1649890807 | Promed Services LLC | Clinical Medical Laboratory | 6986 E Mary Dr, Tucson, AZ 85730-1713 | 2020-04-17 |
| 1780203638 | Translational Genomics Research Institute | Clinical Medical Laboratory | 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 | 2020-04-10 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
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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.