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PHOENICIAN MEDICAL CENTER INC
NPI 1043090236
Family Medicine in Phoenix, AZ

Active since October 04, 2023CLIA Certified · 2 labs
2228 W NORTHERN AVE STE B202, PHOENIX, AZ 85021(480) 963-1853 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenician Medical Center Inc NPPES

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

PHOENICIAN MEDICAL CENTER INC (NPI 1043090236), doing business as Phoenician Primary Care, is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Anupam Ahlawat, Coo, as its authorized official.

NPPES Registry Identity

NPI1043090236
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENICIAN MEDICAL CENTER INC
Location Address2228 W NORTHERN AVE STE B202Phoenix, AZ 85021-9351
Mailing Address1343 N Alma School Rd Ste 160Chandler, AZ 85224-5901 · (480) 963-1853 · Fax (480) 963-1854
Phone(480) 963-1853
Organization SubpartNo
Authorized OfficialAnupam AhlawatCoo · (480) 444-7447
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 4, 2023
✔ NPI 1043090236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2228 W NORTHERN AVE STE B202, Phoenix, AZ 85021
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Other Names 1

Doing Business AsPhoenician Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 03D2331268

Phoenician Medical Center Inc · Sedona, AZ
Active · expires Sep 28, 2027
CLIA Number03D2331268
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJeanie Wildes
Laboratory Phone(480) 963-1853
Laboratory LocationPhoenician Medical Center Inc6446 Sr-179 Ste 209, Sedona, AZ 86351
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2329613

Phoenician Medical Center Inc · Sedona, AZ
Active · expires Sep 1, 2027
CLIA Number03D2329613
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorBerenice Espinoza
Laboratory Phone(480) 963-1853
Laboratory LocationPhoenician Medical Center Inc95 Soldiers Pass B2, Sedona, AZ 86336
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Phoenician Medical Center Inc's NPI number?

The NPI number for Phoenician Medical Center Inc is 1043090236. It was assigned to this organization in the NPPES registry on October 4, 2023. The provider is doing business as Phoenician Primary Care.

Where is Phoenician Medical Center Inc located?

Phoenician Medical Center Inc is located at 2228 W Northern Ave Ste B202, Phoenix, AZ 85021. The listed phone number is (480) 963-1853.

What is Phoenician Medical Center Inc's specialty?

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

Does Phoenician Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Phoenician Medical Center Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.