GRAYHAWK FAMILY PRACTICE
NPI 1013491166
Family Medicine in Scottsdale, AZ

Active since September 24, 2018CLIA 03D1021736 · Waiver
10051 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262(480) 473-7003(480) 473-4499 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2023, Mar 27, 2020, Apr 2, 2019 and 1 more (4 updates tracked since 2018).

About Grayhawk Family Practice NPPES

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

GRAYHAWK FAMILY PRACTICE (NPI 1013491166) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Arnetta Blackwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013491166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLOVE LLC
Location Address10051 E DYNAMITE BLVD STE 110Scottsdale, AZ 85262-5239
Mailing Address10051 E Dynamite Blvd Ste 110Scottsdale, AZ 85262-5239 · (480) 473-7003 · Fax (480) 473-4499
Fax(480) 473-4499
Organization SubpartNo
Authorized OfficialArnetta BlackwellCeo · (480) 473-7003
Enumeration DateSeptember 24, 2018
Last NPPES UpdateMay 22, 20234 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1013491166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10051 E DYNAMITE BLVD STE 110, Scottsdale, AZ 85262

Other Names 1

Doing Business AsGrayhawk Family Practice

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 Waiver 03D1021736

Grayhawk Family Practice · Scottsdale, AZ
Active · expires Oct 31, 2026
CLIA Number03D1021736
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorArnetta N. King
Laboratory Phone(480) 473-7003
Laboratory LocationGrayhawk Family Practice10051 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
10051 E DYNAMITE BLVD STE 110
SCOTTSDALE, AZ 85262
Nurse Practitioner (Family)
10051 E DYNAMITE BLVD STE 110
SCOTTSDALE, AZ 85262
Family Medicine
10051 E DYNAMITE BLVD STE 110
SCOTTSDALE, AZ 85262

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 Clove LLC's NPI number?

The NPI number for Clove LLC is 1013491166. It was assigned to this organization in the NPPES registry on September 24, 2018. The provider is doing business as Grayhawk Family Practice.

Where is Clove LLC located?

Clove LLC is located at 10051 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262. The listed phone number is (480) 473-7003.

What is Clove LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clove LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1021736) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clove LLC was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.