DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
NPI 1053853978
Clinic/Center - Emergency Care in Mesa, AZ

Active since November 09, 2016CLIA 03D2118576 · Accreditation
1910 S GILBERT RD, MESA, AZ 85204(972) 899-6630 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2019, Nov 9, 2016 (2 updates tracked since 2016).

About Dignity Health Arizona General Hospital Emergency Room NPPES

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

DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM (NPI 1053853978) is a healthcare organization registered as an emergency care in Mesa, Arizona and active in the NPI registry since November 2016. The organization holds an CLIA Accreditation certificate valid through July 11, 2027 and lists Jane Hanson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053853978
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameAGH LAVEEN LLC
Location Address1910 S GILBERT RDMesa, AZ 85204-6808
Mailing Address3030 N Central Ave Ste 1402Phoenix, AZ 85012-2720 · (602) 406-3306
Organization SubpartNo
Authorized OfficialJane HansonCeo · (480) 410-4523
Enumeration DateNovember 9, 2016
Last NPPES UpdateMay 13, 20192 updates tracked since enumeration
NPI 1053853978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
License Licensed in AZ · H6937
1910 S GILBERT RD, Mesa, AZ 85204

Other Names 1

Doing Business AsDignity Health Arizona General Hospital Emergency Room

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 Accreditation 03D2118576

Dignity Health Arizona General Hospital- Mesa Baseline · Mesa, AZ
Active · expires Jul 11, 2027
CLIA Number03D2118576
Laboratory TypeFree Standing ER
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorDr. William Fulton
Laboratory Phone(972) 899-6666
Laboratory LocationDignity Health Arizona General Hospital- Mesa Baseline1910 S Gilbert Rd, Mesa, AZ 85204
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

Emergency Medicine (Emergency Medical Services)
1910 S GILBERT RD
MESA, AZ 85204
Clinic/Center (Emergency Care)
1910 S GILBERT RD
MESA, AZ 85204

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 Agh Laveen LLC's NPI number?

The NPI number for Agh Laveen LLC is 1053853978. It was assigned to this organization in the NPPES registry on November 9, 2016. The provider is doing business as Dignity Health Arizona General Hospital Emergency Room.

Where is Agh Laveen LLC located?

Agh Laveen LLC is located at 1910 S Gilbert Rd, Mesa, AZ 85204. The listed phone number is (972) 899-6630.

What is Agh Laveen LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Does Agh Laveen LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2118576) is associated with this NPI, valid through July 11, 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 Agh Laveen LLC was last updated on May 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.