EAST VALLEY DIAGNOSTICS LLC
NPI 1104615673
Clinical Medical Laboratory in Mesa, AZ

Active since May 02, 2025CLIA 03D2324843 · Accreditation
2509 S POWER RD STE 105, MESA, AZ 85209(623) 624-7420(623) 624-7409 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Valley Diagnostics Llc NPPES

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

EAST VALLEY DIAGNOSTICS LLC (NPI 1104615673) is a healthcare organization registered as a clinical medical laboratory in Mesa, Arizona and active in the NPI registry since May 2025. The organization holds an CLIA Accreditation certificate valid through June 1, 2027 and lists Jake Gabbard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104615673
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEAST VALLEY DIAGNOSTICS LLC
Location Address2509 S POWER RD STE 105Mesa, AZ 85209-6696
Mailing Address2509 S Power Rd Ste 105Mesa, AZ 85209-6696 · (623) 624-7420 · Fax (623) 624-7409
Fax(623) 624-7409
Organization SubpartNo
Authorized OfficialJake GabbardCeo · (623) 624-7420
Enumeration DateMay 2, 2025
Last NPPES UpdateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
NPI 1104615673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
2509 S POWER RD STE 105, Mesa, AZ 85209

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 03D2324843

East Valley Diagnostics LLC · Mesa, AZ
Active · expires Jun 1, 2027
CLIA Number03D2324843
Laboratory TypeIndependent
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorGhaith Altawallbeh
Laboratory Phone(623) 624-7420
Laboratory LocationEast Valley Diagnostics LLC2509 S Power Rd Ste 105, Mesa, AZ 85209
CLIA data matches this NPI record on: Address Name Phone
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

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

Durable Medical Equipment & Medical Supplies
2509 S POWER RD STE 105
MESA, AZ 85209

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 East Valley Diagnostics LLC's NPI number?

The NPI number for East Valley Diagnostics LLC is 1104615673. It was assigned to this organization in the NPPES registry on May 2, 2025.

Where is East Valley Diagnostics LLC located?

East Valley Diagnostics LLC is located at 2509 S Power Rd Ste 105, Mesa, AZ 85209. The listed phone number is (623) 624-7420.

What is East Valley Diagnostics LLC's specialty?

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

Does East Valley Diagnostics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2324843) is associated with this NPI, valid through June 1, 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 East Valley Diagnostics LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.