OMNIWEST, LLC (NPI# 1871921189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871921189 |
| Entity Type | Organization |
| Organization Name | OMNIWEST, LLC |
| Practice Address |
4647 E Laredo Ln Cave Creek AZ 85331-5062 |
| Practice Telephone | 4802364900 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | MARC JABLONSKI (CEO) |
| Authorized Official Telephone | 4802364900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
4647 E LAREDO LN |
| City | CAVE CREEK |
| State | AZ |
| Zip Code | 85331-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310809 | Fernisha Kaysteine Brown | Registered Nurse | 5227 E. Carefree Hwy, Cave Creek, AZ 85331 | 2020-09-09 |
| 1558996538 | Arizona Dental Professionals, P.C. | Dentist | 5355 E Carefree Hwy Ste 102, Carefree, AZ 85331 | 2020-03-10 |
| 1649738352 | Teresa Michelle Colao | Specialist/Technologist | 5250 E Montgomery Road, Cave Creek, AZ 85331 | 2019-03-12 |
| 1154839546 | Ring Chiropractic, Ltd | Chiropractor | 7208 East Cave Creek Road, Ste. F, Carefree, AZ 85331 | 2018-01-19 |
| 1568900215 | Johnathan James Kuntz | Pharmacist | 5400 E. Carefree Highway, Cave Creek, AZ 85331 | 2017-02-02 |
| 1922558576 | Christi Porter | Speech-Language Pathologist | 5228 E Barwick Dr, Cave Creek, AZ 85331 | 2016-10-06 |
| 1720483423 | Cave Creek Dentistry, LLP | Dentist | 34317 N Cave Creek Road, Suite 103, Cave Creek, AZ 85331 | 2014-10-24 |
| 1417351479 | David Joseph Morris | Pharmacist | 28138 North Tatum Blvd, Cavecreek, AZ 85331 | 2014-10-20 |
| 1871845511 | Barbara S. Woodlief | Physical Therapy Assistant | 197 South Willard, Cottonwood, AZ 85331 | 2012-10-04 |
| 1811267560 | Negin Nickie Mohebbi | Pharmacist | 5400 E. Carefree Hwy, Cave Creek, AZ 85331 | 2012-01-11 |
| Find all providers in zip 85331 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952803652 | Comfort Care Providers, LLC. | Physiological Laboratory | 555 E Plaza Cir Dr Ste C, Litchfield Park, AZ 85340 | 2018-03-08 |
| 1518472950 | Tri-state Medical Alliance, LLC | Physiological Laboratory | 1510 E Wagon Wheel Ln Ste 103, Fort Mohave, AZ 86426-6698 | 2017-12-07 |
| 1659793180 | Dermspectra, LLC | Physiological Laboratory | 2601 N Campbell Ave, Suite 205, Tucson, AZ 85719-3163 | 2014-01-17 |
| 1386963924 | Insight Health Corp. | Physiological Laboratory | 10249 W. Thunderbird Rd, Suite 200, Sun City, AZ 85351 | 2010-05-21 |
| 1932435526 | Insight Health Corp. | Physiological Laboratory | 5040 N. 15th Ave., Suite 101, Phoenix, AZ 85015-3328 | 2009-11-02 |
| 1740478072 | Az Neuromonitoring LLC | Physiological Laboratory | 10105 E Via Linda, Ste 103-274, Scottsdale, AZ 85258-5311 | 2007-10-11 |
| 1598891582 | Health Care Imaging Inc | Physiological Laboratory | 202 E Earll Dr Ste 190, Phoenix, AZ 85012 | 2007-02-26 |
| 1770504870 | Mohave Medical Imaging Center | Physiological Laboratory | 1851 Mesquite Ave, Suite 112, Lake Havasu City, AZ 86403-5677 | 2006-07-22 |
| 1609834159 | Sunrise Medical Diagnostic, Inc | Physiological Laboratory | 12611 N 103rd Ave, Ste # G, Sun City, AZ 85351-3422 | 2006-05-03 |
| 1659330710 | Insight Health Corp | Physiological Laboratory | 2921 N 18th Pl, Phoenix, AZ 85016-7705 | 2006-03-18 |
| Find all providers with the same taxonomy | ||||
| City | CAVE CREEK |
| Zip Code | 85331 |
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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.