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NPI · 1104615673 · NPPES-sourced

East Valley Diagnostics LLC

ActiveClinical Medical Laboratory
NPI Number
1104615673
Type 2 · Organisation
Taxonomy Code
291U00000X
Contact
(623) 624-7420
Primary practice line
Last Updated
Enumerated
Primary practice addressAZ · 85209-6696
2509 S Power Rd Ste 105Mesa, AZ 85209-6696
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About this NPIWhat this record shows.

NPI 1104615673 is registered to East Valley Diagnostics LLC, a healthcare organisation classified as "Clinical Medical Laboratory" and located at 2509 S Power Rd Ste 105 in Mesa, Arizona. The organisation's authorised official is Jake Gabbard. The organisation has been enumerated in the NPI registry since 2025.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans East Valley Diagnostics LLC accepts. To confirm in-network status with your specific health plan, contact East Valley Diagnostics LLC directly at (623) 624-7420.

Frequently asked

Yes. NPI 1104615673 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Medical Laboratory is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (623) 624-7420.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. East Valley Diagnostics LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy291U00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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