PROVISTA HEALTH, LLC
NPI 1053595751
Clinical Medical Laboratory in Scottsdale, AZ

Active since December 18, 2007
17301 N PERIMETER DR, SUITE 100, SCOTTSDALE, AZ 85255(602) 224-5500 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provista Health, Llc NPPES

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

PROVISTA HEALTH, LLC (NPI 1053595751) is a healthcare organization registered as a clinical medical laboratory in Scottsdale, Arizona and active in the NPI registry since December 2007. The organization lists Tarun Jolly, Owner, as its authorized official.

NPPES Registry Identity

NPI1053595751
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVISTA HEALTH, LLC
Location Address17301 N PERIMETER DR, SUITE 100Scottsdale, AZ 85255-5468
Mailing Address17301 N Perimeter Dr, Suite 100Scottsdale, AZ 85255-5468 · (602) 224-5500
Organization SubpartNo
Authorized OfficialTarun JollyOwner · (504) 236-4030
Enumeration DateDecember 18, 2007
Last NPPES UpdateSeptember 13, 2019
NPI 1053595751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in AZ · 03D1063366
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
17301 N PERIMETER DR, Scottsdale, AZ 85255

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 Provista Health, LLC's NPI number?

The NPI number for Provista Health, LLC is 1053595751. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Provista Health, LLC located?

Provista Health, LLC is located at 17301 N Perimeter Dr Suite 100, Scottsdale, AZ 85255. The listed phone number is (602) 224-5500.

What is Provista Health, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Provista Health, LLC was last updated on September 13, 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.