COALESCENCE HEALTH SERVICES, LLC
NPI 1124707674
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Phoenix, AZ
About Coalescence Health Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COALESCENCE HEALTH SERVICES, LLC (NPI 1124707674), doing business as Bridge Dialysis Of Arizona, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Phoenix, Arizona and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Tangina Maloof, Treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 03D2324572
Coalescence Health Services, LLC · Phoenix, AZFrequently 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 Coalescence Health Services, LLC's NPI number?
The NPI number for Coalescence Health Services, LLC is 1124707674. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Bridge Dialysis of Arizona.
Where is Coalescence Health Services, LLC located?
Coalescence Health Services, LLC is located at 1310 N 24th St Ste 120, Phoenix, AZ 85008. The listed phone number is (623) 850-5608.
What is Coalescence Health Services, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Coalescence Health Services, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2324572) is associated with this NPI, valid through May 27, 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 Coalescence Health Services, LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Coalescence Health Services, Llc · NPI 1124707674
End-Stage Renal Disease (ESRD) Treatment organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since July 12, 2023.
## Identity
- **NPI:** 1124707674 (Entity type: Organization)
- **Enumerated:** July 12, 2023
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Also known as:** Bridge Dialysis of Arizona (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tangina Maloof, TREASURER
## Practice location
- **Address:** 1310 N 24TH ST STE 120, Phoenix, AZ 85008-4617
- **Phone:** (623) 850-5608
## Record status
- **NPPES last updated:** May 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124707674) · Data from the CMS NPPES public registry.