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MINIMALLY INVASIVE AND ROBOTIC UROLOGY OBS LLC
NPI 1093593923
Clinic/Center - Ambulatory Surgical in Glendale, AZ

Active since September 20, 2023CLIA 03D2301422 · Waiver
20325 N 51ST AVE STE 102, GLENDALE, AZ 85308(630) 567-3238 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Oct 18, 2023, Oct 11, 2023 (3 updates tracked since 2023).

About Minimally Invasive And Robotic Urology Obs Llc NPPES

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

MINIMALLY INVASIVE AND ROBOTIC UROLOGY OBS LLC (NPI 1093593923) is a healthcare organization registered as an ambulatory surgical in Glendale, Arizona and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Ganesh Sivarajan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093593923
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMINIMALLY INVASIVE AND ROBOTIC UROLOGY OBS LLC
Location Address20325 N 51ST AVE STE 102Glendale, AZ 85308-5665
Mailing Address22230 N 55th StPhoenix, AZ 85054-7157
Phone(630) 567-3238
Organization SubpartNo
Authorized OfficialGanesh SivarajanMedical Director · (630) 567-3238
Enumeration DateSeptember 20, 2023
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1093593923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
20325 N 51ST AVE STE 102, Glendale, AZ 85308
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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 03D2301422

Minimally Invasive Robotic Urology Obs · Glendale, AZ
Active · expires Mar 25, 2028
CLIA Number03D2301422
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorAmanda Gracia
Laboratory Phone(630) 567-3238
Laboratory LocationMinimally Invasive Robotic Urology Obs20325 N 51st Ave Ste 102, Glendale, AZ 85308
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RUM LLC
Surgery
20325 N 51ST AVE STE 102
GLENDALE, AZ 85308
Maricopa County (480) 930-4018
WAN-LIN HORNG M.D.
Surgery
20325 N 51ST AVE STE 102
GLENDALE, AZ 85308
Maricopa County (602) 253-4271
SAGE HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
20325 N 51ST AVE STE 102
GLENDALE, AZ 85308
Maricopa County (480) 930-4018

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 Minimally Invasive And Robotic Urology Obs LLC's NPI number?

The NPI number for Minimally Invasive And Robotic Urology Obs LLC is 1093593923. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Minimally Invasive And Robotic Urology Obs LLC located?

Minimally Invasive And Robotic Urology Obs LLC is located at 20325 N 51st Ave Ste 102, Glendale, AZ 85308. The listed phone number is (630) 567-3238.

What is Minimally Invasive And Robotic Urology Obs LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Minimally Invasive And Robotic Urology Obs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2301422) is associated with this NPI, valid through March 25, 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 Minimally Invasive And Robotic Urology Obs LLC was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.