FORTITUDE SURGERY CENTER, LLC
NPI 1043789118
Clinic/Center - Ambulatory Surgical in Phoenix, AZ
About Fortitude Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORTITUDE SURGERY CENTER, LLC (NPI 1043789118) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Nikki Vaughan, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 03D2163922
Fortitude Surgery Center LLC · Phoenix, AZOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85012
PHOENIX, AZ 85012
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 Fortitude Surgery Center, LLC's NPI number?
The NPI number for Fortitude Surgery Center, LLC is 1043789118. It was assigned to this organization in the NPPES registry on November 19, 2018.
Where is Fortitude Surgery Center, LLC located?
Fortitude Surgery Center, LLC is located at 5133 N Central Ave Ste 200, Phoenix, AZ 85012. The listed phone number is (602) 651-1380.
What is Fortitude Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Fortitude Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2163922) is associated with this NPI, valid through March 21, 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 Fortitude Surgery Center, LLC was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Fortitude Surgery Center, Llc · NPI 1043789118
Ambulatory Surgical organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since November 19, 2018.
## Identity
- **NPI:** 1043789118 (Entity type: Organization)
- **Enumerated:** November 19, 2018
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Nikki Vaughan, ADMINISTRATOR
## Practice location
- **Address:** 5133 N CENTRAL AVE STE 200, Phoenix, AZ 85012-1438
- **Phone:** (602) 651-1380
## Record status
- **NPPES last updated:** October 30, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043789118) · Data from the CMS NPPES public registry.