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1 SOURCE LABS AND MEDICAL SERVICES LLC
NPI 1730708017
Point of Service in Phoenix, AZ

Active since April 16, 2020
2440 W MISSION LN STE 5, PHOENIX, AZ 85021(623) 261-1716(623) 321-1569 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1 Source Labs And Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1 SOURCE LABS AND MEDICAL SERVICES LLC (NPI 1730708017) is a healthcare organization registered as a point of service in Phoenix, Arizona and active in the NPI registry since April 2020. The organization lists Manuel Enrique Salgado, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730708017
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business Name1 SOURCE LABS AND MEDICAL SERVICES LLC
Location Address2440 W MISSION LN STE 5Phoenix, AZ 85021-2824
Mailing Address2440 W Mission Ln Ste 5Phoenix, AZ 85021-2824 · (623) 261-1716 · Fax (623) 321-1569
Phone(623) 261-1716
Fax(623) 321-1569
Organization SubpartNo
Authorized OfficialManuel Enrique SalgadoCeo · (623) 261-1716
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1730708017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2440 W MISSION LN STE 5, Phoenix, AZ 85021
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ON POINTLLC
Case Management
2440 W MISSION LN STE 5
PHOENIX, AZ 85021
Maricopa County (602) 423-9682
AIR TRAVEL 911 LLC
Ambulance
2440 W MISSION LN STE 5
PHOENIX, AZ 85021
Maricopa County (602) 423-9682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1 Source Labs And Medical Services LLC's NPI number?

The NPI number for 1 Source Labs And Medical Services LLC is 1730708017. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is 1 Source Labs And Medical Services LLC located?

1 Source Labs And Medical Services LLC is located at 2440 W Mission Ln Ste 5, Phoenix, AZ 85021. The listed phone number is (623) 261-1716.

What is 1 Source Labs And Medical Services LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for 1 Source Labs And Medical Services LLC was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.