SCOTTSDALE PAIN CENTER LLC
NPI 1093434748
Clinic/Center in Phoenix, AZ

Active since August 25, 2022CLIA 03D2272964 · Waiver
7010 E CHAUNCEY LN STE 215, PHOENIX, AZ 85054(480) 314-2288(480) 314-1113 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scottsdale Pain Center Llc NPPES

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

SCOTTSDALE PAIN CENTER LLC (NPI 1093434748) is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Sham Vengurlekar, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1093434748
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSCOTTSDALE PAIN CENTER LLC
Location Address7010 E CHAUNCEY LN STE 215Phoenix, AZ 85054-3117
Mailing Address7010 E Chauncey Ln Ste 215Phoenix, AZ 85054-3117 · (480) 314-2288 · Fax (480) 314-1113
Fax(480) 314-1113
Organization SubpartNo
Authorized OfficialSham VengurlekarManaging Member · (480) 314-2288
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1093434748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7010 E CHAUNCEY LN STE 215, Phoenix, AZ 85054

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 03D2272964

Scottsdale Pain Center LLC · Phoenix, AZ
Active · expires Dec 1, 2026
CLIA Number03D2272964
Laboratory TypeOutpatient Treatment
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorSham M. Venguriekar
Laboratory Phone(480) 314-2288
Laboratory LocationScottsdale Pain Center LLC7010 E Chauncey Ln Ste 215, Phoenix, AZ 85054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Cardiovascular Disease)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Durable Medical Equipment & Medical Supplies
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Clinic/Center (Multi-Specialty)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Internal Medicine (Cardiovascular Disease)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Clinic/Center (Pain)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Internal Medicine (Cardiovascular Disease)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Clinic/Center (Pain)
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054
Anesthesiology
7010 E CHAUNCEY LN STE 215
PHOENIX, AZ 85054

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 Scottsdale Pain Center LLC's NPI number?

The NPI number for Scottsdale Pain Center LLC is 1093434748. It was assigned to this organization in the NPPES registry on August 25, 2022.

Where is Scottsdale Pain Center LLC located?

Scottsdale Pain Center LLC is located at 7010 E Chauncey Ln Ste 215, Phoenix, AZ 85054. The listed phone number is (480) 314-2288.

What is Scottsdale Pain Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Scottsdale Pain Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2272964) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scottsdale Pain Center LLC was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.