OMNI DERMATOLOGY ESTRELLA LLC
NPI 1225570732
Specialist in Phoenix, AZ

Q: What is Omni Dermatology Estrella LLC's NPI number?

The NPI number for Omni Dermatology Estrella LLC is 1225570732. It was assigned to this organization in the NPPES registry on November 15, 2016.

Q: What is Omni Dermatology Estrella LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 15, 2016CLIA Certified · 2 labs

9305 W THOMAS RD, STE 350, PHOENIX, AZ 85037(623) 478-8000(623) 478-8003 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Omni Dermatology Estrella Llc NPPES

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

OMNI DERMATOLOGY ESTRELLA LLC (NPI 1225570732) is a healthcare organization registered as a specialist in Phoenix, Arizona and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates and lists Andrew Joseph Racette, President, as its authorized official.

NPPES Registry Identity

NPI1225570732

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOMNI DERMATOLOGY ESTRELLA LLC

Location Address9305 W THOMAS RD, STE 350Phoenix, AZ 85037-3328

Mailing Address4840 E Indian School Rd, Ste 102Phoenix, AZ 85018-5500 · (602) 954-3919 · Fax (602) 954-3670

Phone(623) 478-8000

Fax(623) 478-8003

Organization SubpartNo

Authorized OfficialAndrew Joseph RacettePresident · (602) 954-3919

Enumeration DateNovember 15, 2016

✔ NPI 1225570732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9305 W THOMAS RD, Phoenix, AZ 85037

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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 2

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 03D2092594

Omni Dermatology, Inc · Phoenix, AZ

Active · expires Oct 6, 2026

CLIA Number03D2092594

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorAndrew J. Racette

Laboratory Phone(623) 478-8000

Laboratory LocationOmni Dermatology, Inc9305 W Thomas Rd, Ste 305, Phoenix, AZ 85037

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 of Compliance 03D1083664

Omni Dermatology Inc · Phoenix, AZ

Active · expires Jun 15, 2028

CLIA Number03D1083664

Laboratory TypePhysician Office

Certificate Effective DateJune 16, 2026

Certificate Expiration DateJune 15, 2028

Laboratory DirectorAndrew Racette

Laboratory Phone(602) 954-3919

Laboratory LocationOmni Dermatology Inc4801 E Mcdowell Rd Ste 150, Phoenix, AZ 85008

CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 20

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

DR. DIMPY KAPOOR M.D.

Internal Medicine (Rheumatology)

9305 W THOMAS RD, STE 455
PHOENIX, AZ 85037

Maricopa County (623) 399-9010

ARETE SLEEP THERAPY LLC

Durable Medical Equipment & Medical Supplies

9305 W THOMAS RD, SUITE 465
PHOENIX, AZ 85037

Maricopa County (866) 396-2287

LEGESSE MEKONNEN MD

Internal Medicine (Infectious Disease)

9305 W THOMAS RD, SUITE 380
PHOENIX, AZ 85037

Maricopa County (623) 327-4144

GOVINDA CHANDRA SATAPATHY MD

Internal Medicine

9305 W THOMAS RD, #285
PHOENIX, AZ 85037

Maricopa County (623) 849-1988

MS. JANICE LEE CROLL OTR

Occupational Therapist

9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037

Maricopa County (623) 889-0411

GASTROINTESTINAL & LIVER DISEASE CENTER PLLC

Internal Medicine (Gastroenterology)

9305 W THOMAS RD, SUITE #255
PHOENIX, AZ 85037

Maricopa County (480) 734-8737

FELIX B CARRILLO PT, DPT

Physical Therapist

9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037

Maricopa County (623) 889-0411

WENDI MORFITT MD PLLC

Pediatrics

9305 W THOMAS RD, SUITE 450
PHOENIX, AZ 85037

Maricopa County (623) 889-3303

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 Omni Dermatology Estrella LLC's NPI number?

The NPI number for Omni Dermatology Estrella LLC is 1225570732. It was assigned to this organization in the NPPES registry on November 15, 2016.

Where is Omni Dermatology Estrella LLC located?

Omni Dermatology Estrella LLC is located at 9305 W Thomas Rd Ste 350, Phoenix, AZ 85037. The listed phone number is (623) 478-8000.

What is Omni Dermatology Estrella LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Omni Dermatology Estrella LLC hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Omni Dermatology Estrella LLC was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.