Big Bus Labs LLC
Clinical Medical Laboratory in Mesa, AZ. Organization (NPI-2).
NPI number1295486256
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1295486256
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Bus Labs LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 14, 2022
- Last updated
- Feb 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – |
Other names
- Big Bus Labs (Other Name)
Practice location
625 W McKellips Rd Lot 170Mesa, AZ 85201-1256
Phone 520-279-3099
Mailing address
625 W McKellips Rd Lot 170Mesa, AZ 85201-1256
Phone 520-279-3099
Authorized official
Manikia Boyd
Owner/ Operator
5202793099
Is something wrong?
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