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COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF
NPI 1235616152
Radiology - Vascular & Interventional Radiology in Flagstaff, AZ

Active since July 24, 2018CLIA 03D2143743 · Waiver
2301 N 4TH ST, FLAGSTAFF, AZ 86004(928) 719-7400(480) 371-1121 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2020, Dec 17, 2020, Aug 24, 2018 and 1 more (4 updates tracked since 2018).

About Comprehensive Interventional Care Centers, Pllc - Flagstaff NPPES

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

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - FLAGSTAFF (NPI 1235616152) is a healthcare organization registered as a vascular & interventional radiology in Flagstaff, Arizona and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Joel R. Rainwater, President, as its authorized official.

NPPES Registry Identity

NPI1235616152
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCOMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Location Address2301 N 4TH STFlagstaff, AZ 86004
Mailing Address4001 E Baseline Rd Ste 107Gilbert, AZ 85234-2744 · (480) 374-7354 · Fax (480) 371-1121
Phone(928) 719-7400
Fax(480) 371-1121
Organization SubpartYesParent: Comprehensive Interventional Care Centers, Pllc
Authorized OfficialJoel R. RainwaterPresident · (480) 374-7354
Enumeration DateJuly 24, 2018
Last NPPES UpdateDecember 22, 20204 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1235616152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedPodiatristTaxonomy 213E00000X
2301 N 4TH ST, Flagstaff, AZ 86004
Open in Google Maps ↗

Other Names 1

Doing Business AsComprehensive Interventional Care Centers, Pllc - Flagstaff

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 03D2143743

Comprehensive Interventional Care Centers Dba Comprehensive Integrated Care · Flagstaff, AZ
Active · expires Feb 4, 2028
CLIA Number03D2143743
Laboratory TypeOffice Based Lab
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorJoel Rainwater
Laboratory Phone(928) 719-7400
Laboratory LocationComprehensive Interventional Care Centers Dba Comprehensive Integrated Care2301 N 4th St, Flagstaff, AZ 86004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JOSHUA THOMAS CADY DPM
Podiatrist
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 719-7400
COMPREHENSIVE SURGICAL CARE OF FLAGSTAFF, LLC
Clinic/Center (Ambulatory Surgical)
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (480) 591-9345
MR. KEVIN M DUWE MD
Radiology (Vascular & Interventional Radiology)
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (928) 719-7400
DIANA MICHELLE PERRY DPM
Podiatrist (Foot & Ankle Surgery)
2301 N 4TH ST
FLAGSTAFF, AZ 86004
Coconino County (287) 197-4009

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 Comprehensive Interventional Care Centers, PLLC's NPI number?

The NPI number for Comprehensive Interventional Care Centers, PLLC is 1235616152. It was assigned to this organization in the NPPES registry on July 24, 2018. The provider is doing business as Comprehensive Interventional Care Centers, PLLC - Flagstaff.

Where is Comprehensive Interventional Care Centers, PLLC located?

Comprehensive Interventional Care Centers, PLLC is located at 2301 N 4th St, Flagstaff, AZ 86004. The listed phone number is (928) 719-7400.

What is Comprehensive Interventional Care Centers, PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Comprehensive Interventional Care Centers, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2143743) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Comprehensive Interventional Care Centers, PLLC was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.