DR. OMD, MSN, BA, RN, Randy Mallari, NPI 1306198429
Clinical Laboratory Director (Non-physician) in Scottsdale, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1306198429 |
| NPI Entity Type | Individual |
| Provider Name | DR. OMD, MSN, BA, RN, Randy Mallari |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6501 E Corrine Dr, Scottsdale, AZ, US |
| Provider Mailing Address | 10250 N 124th St, Scottsdale, AZ, US, 852595201 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinical Laboratory Director (Non-physician) |
| Classification | |
| Group |
Technologists, Technicians & Other Technical Service Providers |
| License No. | 03D2046159 |
| Description | An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| RN207973 | AZ | No | |||
| RN207973 | AZ | No | |||
| RN207973 | AZ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 096781 | AZ | MEDICAID | 05 |
| 11547641 | COMMISSION ON NURSE CERTIFICATION | 01 | |
| 15258863 | CAQH | 01 | |
| 03D2253195 | CLIA | 01 | |
| RN207973 | AZ | ARIZONA STATE BOARD OF NURSING | 01 |
| BH6716 | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No |
Other Providers in AZ, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Kerri Hohn Individual |
2222 S Dobson Rd Bldg 9 |
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M.A., N.C.C., L.P.C Robert Dale Labrum Individual |
1845 S Dobson Rd Ste 101 |
||
|
DR. M.D. Vincent Paul Goux Individual |
3320 N 3rd Ave |
||
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Atlas Medical Systems, Pllc Organization |
3320 N 3rd Ave |
||
|
Tiana Elizabeth Roth Individual |
13162 W Clarendon Ave |
||
|
Ngalle Homes Care Organization |
Mental Illness Community Based Residential Treatment Facility |
721 E Forge Ave |
|
|
MR. MA, LISAC Woodrow Eugene Miller III Individual |
21085 W Park Meadows Dr |
||
|
Christina Fitzpatrick Individual |
1 S Church Ave Ste 1200 |
||
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PA-C Abigail Jane Higgins Individual |
16611 S 40th St Ste 120 |
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RN Abbigael Naomi Simpson Individual |
1707 W Saint Marys Rd |
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|
Rehema Outpatient Treatment Center Llc Organization |
Mental Health Clinic/Center (Including Community Mental Health Center) |
1968a N Peart Rd Ste 3 |
|
|
MRS. LCSW Colette Reon Hardesty-tesar X Individual |
3565 E Marshall Gulch Pl |
||
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MD Xiao Kristin Liang Individual |
7301 E 2nd St Ste 210 |
||
|
RD Haley Dawn Smith Individual |
1200 N Beaver St |
||
|
MD Nicole Marie Casey Individual |
3003 N 3rd St |
||
|
Julie Ann Roberts Individual |
335 N Alma School Rd |
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|
MOT OTR/L, BCP, CIMI Victoria Wicus Individual |
4525 E Le Marche Ave |
||
|
LCSW Taylor Redding Individual |
3656 W Scavenger Dr |
||
|
Sierra Vista Regional Health Center Medical Group Llc Organization |
5750 E Highway 90 Suite 200 |
||
|
PT Catherine Broadbent Individual |
23374 W Yuma Rd Ste 104 |
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