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STAR SURGERY CENTER, LLC
NPI 1235760406
Clinic/Center - Ambulatory Surgical in Peoria, AZ

Active since January 28, 2020CLIA 03D2177256 · Waiver
14155 N 83RD AVE STE 140, PEORIA, AZ 85381(623) 248-5842(623) 248-5843 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Star Surgery Center, Llc NPPES

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

STAR SURGERY CENTER, LLC (NPI 1235760406) is a healthcare organization registered as an ambulatory surgical in Peoria, Arizona and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Tina Mankin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235760406
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTAR SURGERY CENTER, LLC
Location Address14155 N 83RD AVE STE 140Peoria, AZ 85381-5652
Mailing Address14155 N 83rd Ave Ste 140Peoria, AZ 85381-5652
Phone(623) 248-5842
Fax(623) 248-5843
Organization SubpartNo
Authorized OfficialTina MankinAdministrator · (602) 510-3203
Enumeration DateJanuary 28, 2020
✔ NPI 1235760406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgeryTaxonomy 208600000X
14155 N 83RD AVE STE 140, Peoria, AZ 85381
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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 03D2177256

Star Surgery Center, LLC · Peoria, AZ
Active · expires Jan 6, 2028
CLIA Number03D2177256
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorM Reza Kharrazi
Laboratory Phone(602) 510-3203
Laboratory LocationStar Surgery Center, LLC14155 N 83rd Ave Ste 140, Peoria, AZ 85381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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 sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
107 services48 patients
Plastic repair of muscles at urinary opening through vagina 57220
This is a surgical procedure to fix muscle damage near the body's waste elimination area, accessed via the birth canal. It aids in improving control and prevention of accidental leakage.
71 services71 patients
Repair of bulging of rectum and bladder into vaginal wall 57265
This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.
63 services63 patients
Repair of pelvic ligaments through vagina 57282
This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.
61 services61 patients
Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590
The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.
21 services21 patients
Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715
This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.
19 services19 patients

Other Providers at the Same Location NPPES

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

ANESTHESIA SERVICES OF AMERICA LLC
Anesthesiology
14155 N 83RD AVE STE 140
PEORIA, AZ 85381
Maricopa County (605) 510-3203

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 Star Surgery Center, LLC's NPI number?

The NPI number for Star Surgery Center, LLC is 1235760406. It was assigned to this organization in the NPPES registry on January 28, 2020.

Where is Star Surgery Center, LLC located?

Star Surgery Center, LLC is located at 14155 N 83rd Ave Ste 140, Peoria, AZ 85381. The listed phone number is (623) 248-5842.

What is Star Surgery Center, LLC's specialty?

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

Does Star Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2177256) is associated with this NPI, valid through January 6, 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 Star Surgery Center, LLC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.