ALPHAMED ARROWHEAD
NPI 1174264675
Family Medicine - Sports Medicine in Glendale, AZ

Active since April 06, 2022CLIA 03D2242857 · Waiver
20249 N 67TH AVE, GLENDALE, AZ 85308(623) 250-4550 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alphamed Arrowhead NPPES

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

ALPHAMED ARROWHEAD (NPI 1174264675) is a healthcare organization registered as a sports medicine in Glendale, Arizona and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Kevin Cantwell, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1174264675
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameALPHAMED ARROWHEAD LLC
Location Address20249 N 67TH AVEGlendale, AZ 85308-6843
Mailing Address20249 N 67th AveGlendale, AZ 85308-6843
Organization SubpartYesParent: Madison Medical Partners, Llc
Authorized OfficialKevin CantwellOwner/provider · (602) 908-2025
Enumeration DateApril 6, 2022
Last NPPES UpdateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1174264675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
20249 N 67TH AVE, Glendale, AZ 85308

Other Names 1

Doing Business AsAlphamed Arrowhead

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2242857

Alphamed Arrowhead · Glendale, AZ
Active · expires Nov 11, 2027
CLIA Number03D2242857
Laboratory TypeUrgent Care
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorKelsie Mandrell
Laboratory Phone(602) 821-1698
Laboratory LocationAlphamed Arrowhead20249 N 67th Ave Ste A, Glendale, AZ 85308
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Technician/Technologist (Optician)
20249 N 67TH AVE, B
GLENDALE, AZ 85308

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 Alphamed Arrowhead LLC's NPI number?

The NPI number for Alphamed Arrowhead LLC is 1174264675. It was assigned to this organization in the NPPES registry on April 6, 2022. The provider is doing business as Alphamed Arrowhead.

Where is Alphamed Arrowhead LLC located?

Alphamed Arrowhead LLC is located at 20249 N 67th Ave, Glendale, AZ 85308. The listed phone number is (623) 250-4550.

What is Alphamed Arrowhead LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Alphamed Arrowhead LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2242857) is associated with this NPI, valid through November 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 Alphamed Arrowhead LLC was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.