East Valley Diagnostics LLC
East Valley Diagnostics LLC is a healthcare organization registered as Clinical Medical Laboratory in Mesa, AZ, holding Type 2 (organization) NPI 1104615673 since 2025. The authorized official on file is Jake Gabbard, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104615673 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | East Valley Diagnostics LLC |
| Practice address | 2509 S POWER RD STE 105, Mesa, AZ, 85209 |
| Phone | 6236247420 |
| Fax | 6236247409 |
| Enumeration date | 2025-05-02 |
| Last updated in NPPES | 2025-11-03 |
Authorized official
| Name | Jake Gabbard |
|---|---|
| Title | Ceo |
| Phone | 6236247420 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: East Valley Diagnostics LLC NPI: 1104615673 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 2509 S POWER RD STE 105, Mesa, AZ, 85209
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619807773 | Bsbw Inc | Organization | Durable Medical Equipment & Medical Supplies | Mesa, AZ |
Verify this record
Cross-check NPI 1104615673 against the authoritative CMS record: view East Valley Diagnostics LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is East Valley Diagnostics LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-03.