ADVANCED DESERT DERMATOLOGY
NPI 1003204975
Dermatology - Clinical & Laboratory Dermatological Immunology in Peoria, AZ

Q: What is Vernon T Mackey, PC's NPI number?

The NPI number for Vernon T Mackey, PC is 1003204975. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as Advanced Desert Dermatology.

Q: What is Vernon T Mackey, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Active since December 31, 2014CLIA 03D1037447 · Certificate of Compliance

9191 W THUNDERBIRD RD STE D101, PEORIA, AZ 85381(623) 977-6700(623) 977-6771 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Advanced Desert Dermatology NPPES

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

ADVANCED DESERT DERMATOLOGY (NPI 1003204975) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Peoria, Arizona and active in the NPI registry since December 2014. The organization holds a CLIA Certificate of Compliance certificate valid through September 29, 2027 and lists Shelly Mackey, Manager, as its authorized official.

NPPES Registry Identity

NPI1003204975

Entity TypeOrganization

Primary Taxonomy207NI0002X

Legal Business NameVERNON T MACKEY, PC

Location Address9191 W THUNDERBIRD RD STE D101Peoria, AZ 85381-4270

Mailing Address9191 W Thunderbird Rd Ste D101Peoria, AZ 85381-4270 · (623) 977-6700 · Fax (623) 977-6771

Phone(623) 977-6700

Fax(623) 977-6771

Organization SubpartNo

Authorized OfficialShelly MackeyManager · (623) 977-6700

Enumeration DateDecember 31, 2014

✔ NPI 1003204975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207NI0002X

License✔ Licensed in AZ · 3535

Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

9191 W THUNDERBIRD RD STE D101, Peoria, AZ 85381

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Other Names 1

Doing Business AsAdvanced Desert Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D1037447

Advanced Desert Dermatology · Peoria, AZ

Active · expires Sep 29, 2027

CLIA Number03D1037447

Laboratory TypePhysician Office

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorBrandon J. Mackey

Laboratory Phone(623) 977-6700

Laboratory LocationAdvanced Desert Dermatology9191 W Thunderbird Rd, Ste D-101, Peoria, AZ 85381

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. BRANDON J MACKEY D.O.

Dermatology (Clinical & Laboratory Dermatological Immunology)

9191 W THUNDERBIRD RD STE D101
PEORIA, AZ 85381

Maricopa County (623) 977-6700

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 Vernon T Mackey, PC's NPI number?

The NPI number for Vernon T Mackey, PC is 1003204975. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as Advanced Desert Dermatology.

Where is Vernon T Mackey, PC located?

Vernon T Mackey, PC is located at 9191 W Thunderbird Rd Ste D101, Peoria, AZ 85381. The listed phone number is (623) 977-6700.

What is Vernon T Mackey, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Does Vernon T Mackey, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D1037447) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vernon T Mackey, PC was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.