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ARIZONA PEDIATRIC PLLC
NPI 1174913826
Pediatrics in Phoenix, AZ

Active since February 03, 2015CLIA 03D0689358 · Waiver
22 E MITCHELL DR, PHOENIX, AZ 85012(602) 277-5731 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Pediatric Pllc NPPES

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

ARIZONA PEDIATRIC PLLC (NPI 1174913826) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Wendy R Saucedo, Owner, as its authorized official.

NPPES Registry Identity

NPI1174913826
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameARIZONA PEDIATRIC PLLC
Location Address22 E MITCHELL DRPhoenix, AZ 85012-2340
Mailing Address22 E Mitchell DrPhoenix, AZ 85012-2340 · (602) 277-5731
Phone(602) 277-5731
Organization SubpartNo
Authorized OfficialWendy R SaucedoOwner · (602) 277-5731
Enumeration DateFebruary 3, 2015
✔ NPI 1174913826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 33537
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 E MITCHELL DR, Phoenix, AZ 85012
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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

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 03D0689358

Arizona Pediatrics PLLC · Phoenix, AZ
Active · expires Oct 6, 2026
CLIA Number03D0689358
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorAntseliovich Pavel
Laboratory Phone(602) 277-5731
Laboratory LocationArizona Pediatrics PLLC22 E Mitchell Dr, Phoenix, AZ 85012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Arizona Pediatric PLLC's NPI number?

The NPI number for Arizona Pediatric PLLC is 1174913826. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Arizona Pediatric PLLC located?

Arizona Pediatric PLLC is located at 22 E Mitchell Dr, Phoenix, AZ 85012. The listed phone number is (602) 277-5731.

What is Arizona Pediatric PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Arizona Pediatric PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0689358) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arizona Pediatric PLLC was last updated on February 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.