ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC NPI 1003423609

Clinic/Center (Ambulatory Surgical) in Scottsdale, AZ

NPI 1003423609 Organization Clinic/Center Ambulatory Surgical CLIA Number 03D2190521 CLIA Certificate of Waiver

About ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC

Arizona Centers For Orthobiologics, Llc is a provider established in Scottsdale, Arizona specializing in clinic/center (ambulatory surgical) . The NPI number of Arizona Centers For Orthobiologics, Llc is 1003423609 and was assigned on September 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. Arizona Centers For Orthobiologics, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tina Mankin (Administrator/director Of Nursing)

The CLIA number of Arizona Centers For Orthobiologics, Llc is 03D2190521 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Arizona Centers For Orthobiologics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003423609

Provider NameARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC
Provider Location Address9475 E IRONWOOD SQUARE DR STE 100 SCOTTSDALE, AZ 85258
Provider Mailing Address9475 E IRONWOOD SQUARE DR STE 100 SCOTTSDALE, AZ 85258
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-28-2020
Last Update Date09-28-2020


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC
9475 E IRONWOOD SQUARE DR STE 100
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 778-1400

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Mailing Address

ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC
9475 E IRONWOOD SQUARE DR STE 100
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 778-1400



Authorized Official

Authorized Official Name TINA MANKIN
Authorized Official TitleADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official Phone(602) 510-3203

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003423609 is:

CLIA Number03D2190521
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineNo

Taxonomy Description: an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255366290 THOMAS J WALL MD
Individual
Orthopaedic Surgery9475 E IRONWOOD SQUARE DR STE 100
SCOTTSDALE, AZ 85258
(480) 778-1400
1326189564ATHLETIC INSTITUTE OF MEDICINE LTD
Organization
Orthopaedic Surgery (Sports Medicine)9475 E IRONWOOD SQUARE DR STE 100
SCOTTSDALE, AZ 85258
(480) 778-1400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.