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SOUTHWEST SKIN SPECIALISTS LLC
NPI 1174521926
Dermatology in Phoenix, AZ

Active since July 13, 2005CLIA Certified · 3 labs
11130 N TATUM BLVD, SUITE 100, PHOENIX, AZ 85028(602) 494-1817(602) 494-7103 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Skin Specialists Llc NPPES

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

SOUTHWEST SKIN SPECIALISTS LLC (NPI 1174521926) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since July 2005. The organization holds 3 active CLIA laboratory certificates and lists Howard Jay Luber, President, as its authorized official.

NPPES Registry Identity

NPI1174521926
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHWEST SKIN SPECIALISTS LLC
Location Address11130 N TATUM BLVD, SUITE 100Phoenix, AZ 85028-1630
Mailing Address10200 N 92nd St, #205Scottsdale, AZ 85258-4534 · (602) 494-1817 · Fax (602) 494-7103
Phone(602) 494-1817
Fax(602) 494-7103
Organization SubpartNo
Authorized OfficialHoward Jay LuberPresident · (602) 494-1817
Enumeration DateJuly 13, 2005
Last NPPES UpdateSeptember 6, 2017
✔ NPI 1174521926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AZ · 98010735
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
11130 N TATUM BLVD, Phoenix, AZ 85028
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Other Identifiers 1

Medicare PINZWMBJQAZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 Compliance 03D0955419

Southwest Skin Specialists · Phoenix, AZ
Active · expires Aug 1, 2027
CLIA Number03D0955419
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorJoseph M. Giancola
Laboratory Phone(602) 494-1817
Laboratory LocationSouthwest Skin Specialists11130 N Tatum Blvd #i-100, Phoenix, AZ 85028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0530163

Southwest Skin Specialists LLC · Scottsdale, AZ
Active · expires Aug 31, 2026
CLIA Number03D0530163
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHoward J. Luber
Laboratory Phone(602) 494-1817
Laboratory LocationSouthwest Skin Specialists LLC10200 N 92nd St, #205, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2150971

Southwest Skin Specialists - Us Derm Partners · Phoenix, AZ
Active · expires Jul 8, 2028
CLIA Number03D2150971
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorHoward J. Luber
Laboratory Phone(602) 494-1817
Laboratory LocationSouthwest Skin Specialists - Us Derm Partners4400 N 32nd St, #140, Phoenix, AZ 85018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

DAVID J GLEMBOCKI MD
Pathology (Anatomic Pathology & Clinical Pathology)
11130 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
AMANDA CARROLL RAINWATER MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
MIRIAM PAULETTE CUMMINGS MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
JOSEPH MICHAEL GIANCOLA MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
BENJAMIN WALLACE LESUEUR MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
JULIE K SALMON MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
NEEL PATEL MD
Dermatology (Procedural Dermatology)
11130 N TATUM BLVD, STE. 100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817
HOWARD JAY LUBER MD
Dermatology
11130 N TATUM BLVD, #100
PHOENIX, AZ 85028
Maricopa County (602) 494-1817

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 Southwest Skin Specialists LLC's NPI number?

The NPI number for Southwest Skin Specialists LLC is 1174521926. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Southwest Skin Specialists LLC located?

Southwest Skin Specialists LLC is located at 11130 N Tatum Blvd Suite 100, Phoenix, AZ 85028. The listed phone number is (602) 494-1817.

What is Southwest Skin Specialists LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Southwest Skin Specialists LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southwest Skin Specialists LLC accept?

Health plans from Ambetter from Arizona Complete Health list Southwest Skin Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southwest Skin Specialists LLC was last updated on September 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.