AGAVE PHYSICIAN SERVICES LLC
NPI 1053082263
Internal Medicine - Hospice and Palliative Medicine in Phoenix, AZ

Active since September 27, 2021CLIA 03D2256919 · Waiver
3240 E UNION HILLS DR STE 145, PHOENIX, AZ 85050(602) 855-3500(855) 930-3500 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Agave Physician Services Llc NPPES

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

AGAVE PHYSICIAN SERVICES LLC (NPI 1053082263) is a healthcare organization registered as a hospice and palliative medicine in Phoenix, Arizona and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Rhett S Andersen, Member, as its authorized official.

NPPES Registry Identity

NPI1053082263
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameAGAVE PHYSICIAN SERVICES LLC
Location Address3240 E UNION HILLS DR STE 145Phoenix, AZ 85050-2652
Mailing Address1008 N 1100 EPleasant Grove, UT 84062-2066 · (801) 420-0077
Fax(855) 930-3500
Organization SubpartNo
Authorized OfficialRhett S AndersenMember · (801) 420-0077
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1053082263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

3240 E UNION HILLS DR STE 145, Phoenix, AZ 85050

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 03D2256919

Agave Physician Services, LLC · Phoenix, AZ
Active · expires Mar 28, 2028
CLIA Number03D2256919
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorGreg Alaestante
Laboratory Phone(602) 855-3500
Laboratory LocationAgave Physician Services, LLC4050 E Greenway Rd Ste 2, Phoenix, AZ 85032
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 Agave Physician Services LLC's NPI number?

The NPI number for Agave Physician Services LLC is 1053082263. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Agave Physician Services LLC located?

Agave Physician Services LLC is located at 3240 E Union Hills Dr Ste 145, Phoenix, AZ 85050. The listed phone number is (602) 855-3500.

What is Agave Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Does Agave Physician Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2256919) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agave Physician Services LLC was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.