FEDERAL CORRECTIONAL INSTITUTION
NPI 1205193893
Clinic/Center - Public Health, Federal in Phoenix, AZ

Active since April 19, 2012CLIA 03D0712260 · Waiver
37900 N 45TH AVE DEPT 1680, PHOENIX, AZ 85086(623) 465-5797(623) 465-5116 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Federal Correctional Institution NPPES

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

FEDERAL CORRECTIONAL INSTITUTION (NPI 1205193893) is a healthcare organization registered as a public health, federal in Phoenix, Arizona and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ricardo Willis, Health Services Administrator, as its authorized official.

NPPES Registry Identity

NPI1205193893
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameFEDERAL CORRECTIONAL INSTITUTION
Location Address37900 N 45TH AVE DEPT 1680Phoenix, AZ 85086-7008
Mailing Address37900 N 45th Ave Dept 1680Phoenix, AZ 85086-7008 · (623) 465-5797 · Fax (623) 465-5116
Fax(623) 465-5116
Organization SubpartNo
Authorized OfficialRicardo WillisHealth Services Administrator · (623) 465-5163
Enumeration DateApril 19, 2012
NPI 1205193893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
37900 N 45TH AVE DEPT 1680, Phoenix, AZ 85086

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 03D0712260

Federal Correctional Institution · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0712260
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSalvatore A. Ricotta, MD
Laboratory Phone(623) 465-5164
Laboratory LocationFederal Correctional Institution37900 N 45th Avenue, Phoenix, AZ 85086
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.

Pharmacist
37900 N 45TH AVE DEPT 1680
PHOENIX, AZ 85086

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 Federal Correctional Institution's NPI number?

The NPI number for Federal Correctional Institution is 1205193893. It was assigned to this organization in the NPPES registry on April 19, 2012.

Where is Federal Correctional Institution located?

Federal Correctional Institution is located at 37900 N 45th Ave Dept 1680, Phoenix, AZ 85086. The listed phone number is (623) 465-5797.

What is Federal Correctional Institution's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Does Federal Correctional Institution hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0712260) is associated with this NPI, valid through August 31, 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 Federal Correctional Institution was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.