1 SOURCE LABS AND MEDICAL SERVICES LLC – NPI #1730708017
Point of Service

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.

Health Care Provider Taxonomy Code for Point of Service

1 SOURCE LABS AND MEDICAL SERVICES LLC is a managed care organization located in PHOENIX, AZ. NPPES has assigned the NPI number 1730708017 to 1 SOURCE LABS AND MEDICAL SERVICES LLC on April 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1 SOURCE LABS AND MEDICAL SERVICES LLC below.

NPI Profile for
1 SOURCE LABS AND MEDICAL SERVICES LLC

NPI Number
1730708017
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
1 SOURCE LABS AND MEDICAL SERVICES LLC
Primary location
2440 W MISSION LN STE 5
PHOENIX, AZ 85021-2824
Phone: (623) 261-1716 Fax: (623) 321-1569
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MANUEL SALGADO
CEO
Phone: (623) 261-1716
Updated
Certification Date
Apr 16, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305S00000X
- Point of Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
2440 W MISSION LN STE 5,
PHOENIX, AZ 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL ADRESS
Content Type
CSV
Affiliation
N
Endpoint Location
2440 W MISSION LN STE 5,
PHOENIX, AZ 77025-1669