1 Source Labs and Medical Services LLC
Point of Service

Address: 2440 W Mission Ln Ste 5, Phoenix, AZ 85021-2824
Phone: 6232611716

1 Source Labs and Medical Services LLC (NPI# 1730708017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1730708017
Entity Type Organization
Organization Name 1 SOURCE LABS AND MEDICAL SERVICES LLC
Practice Address 2440 W Mission Ln Ste 5
Phoenix
AZ 85021-2824
Practice Telephone 6232611716
Practice Fax Number 6233211569
Mailing Address 2440 W Mission Ln Ste 5
Phoenix
AZ 85021-2824
Mailing Telephone 6232611716
Mailing Fax Number 6233211569
Authorized Official Name Mr. Manuel Enrique Salgado (CEO)
Authorized Official Telephone 6232611716
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-16
Last Update Date 2020-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 305S00000X Point of Service Managed Care Organizations

Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy 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.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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Office Location

Street Address 2440 W MISSION LN STE 5
City PHOENIX
State AZ
Zip Code 85021-2824

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Competitor

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City PHOENIX
Zip Code 85021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.