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APOLLO SURGICAL CENTER LLC
NPI 1225745870
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since November 02, 2022CLIA 03D2284154 · Accreditation
7615 E BASELINE RD STE 102, MESA, AZ 85209(480) 597-3290 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Feb 15, 2023, Nov 2, 2022 (3 updates tracked since 2022).

About Apollo Surgical Center Llc NPPES

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

APOLLO SURGICAL CENTER LLC (NPI 1225745870) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through May 11, 2027 and lists Fawn Boonstra, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225745870
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAPOLLO SURGICAL CENTER LLC
Location Address7615 E BASELINE RD STE 102Mesa, AZ 85209-2000
Mailing Address7615 E Baseline Rd Ste 102Mesa, AZ 85209-2000 · (480) 597-3290
Phone(480) 597-3290
Organization SubpartNo
Authorized OfficialFawn BoonstraOffice Manager · (480) 286-7907
Enumeration DateNovember 2, 2022
Last NPPES UpdateApril 12, 20243 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1225745870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
7615 E BASELINE RD STE 102, Mesa, AZ 85209
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Accepted Insurance

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

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 Accreditation 03D2284154

Apollo Surgical Center LLC · Mesa, AZ
Active · expires May 11, 2027
CLIA Number03D2284154
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorShantha Kumar
Laboratory Phone(480) 286-7907
Laboratory LocationApollo Surgical Center LLC7615 E Baseline Rd Ste 102, Mesa, AZ 85209
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
20 services20 patients

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 Apollo Surgical Center LLC's NPI number?

The NPI number for Apollo Surgical Center LLC is 1225745870. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Apollo Surgical Center LLC located?

Apollo Surgical Center LLC is located at 7615 E Baseline Rd Ste 102, Mesa, AZ 85209. The listed phone number is (480) 597-3290.

What is Apollo Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Apollo Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2284154) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Apollo Surgical Center LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Apollo Surgical Center 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 Apollo Surgical Center LLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.