ARIZONA STATE UNIVERSITY HEALTH SERVICES
NPI 1255511465
Nurse Practitioner - Family in Glendale, AZ

Q: What is Arizona State University's NPI number?

The NPI number for Arizona State University is 1255511465. It was assigned to this organization in the NPPES registry on November 6, 2007. The provider is doing business as Arizona State University Health Services.

Q: What is Arizona State University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 06, 2007CLIA 03D0880135 · Microscopy

4701 WEST THUNDERBIRD ROAD, UNIVERSITY CENTER BUILDING, ROOM 190, GLENDALE, AZ 85306(602) 543-8019(602) 543-8079 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Arizona State University Health Services NPPES

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

ARIZONA STATE UNIVERSITY HEALTH SERVICES (NPI 1255511465) is a healthcare organization registered as a family in Glendale, Arizona and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through September 4, 2027 and lists Allan Markus, Physician/director, as its authorized official.

NPPES Registry Identity

NPI1255511465

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameARIZONA STATE UNIVERSITY

Location Address4701 WEST THUNDERBIRD ROAD, UNIVERSITY CENTER BUILDING, ROOM 190Glendale, AZ 85306

Mailing AddressPo Box 872104Tempe, AZ 85287-2104 · (480) 965-3346 · Fax (480) 965-2269

Phone(602) 543-8019

Fax(602) 543-8079

Organization SubpartYes

Authorized OfficialAllan MarkusPhysician/director · (480) 965-1145

Enumeration DateNovember 6, 2007

Last NPPES UpdateNovember 3, 2014

✔ NPI 1255511465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedFamily MedicineTaxonomy 207Q00000X

4701 WEST THUNDERBIRD ROAD, Glendale, AZ 85306

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Other Names 1

Doing Business AsArizona State University Health Services

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 MULTIPLE SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 03D0880135

Arizona State Univ West Student Health Services · Glendale, AZ

Active · expires Sep 4, 2027

CLIA Number03D0880135

Laboratory TypeSchool/Student Health Service

Certificate Effective DateSeptember 5, 2025

Certificate Expiration DateSeptember 4, 2027

Laboratory DirectorMaria Horetz

Laboratory Phone(480) 965-1365

Laboratory LocationArizona State Univ West Student Health Services4701 West Thunderbird Road Ucb 190, Glendale, AZ 85306

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Arizona State University's NPI number?

The NPI number for Arizona State University is 1255511465. It was assigned to this organization in the NPPES registry on November 6, 2007. The provider is doing business as Arizona State University Health Services.

Where is Arizona State University located?

Arizona State University is located at 4701 West Thunderbird Road University Center Building, Room 190, Glendale, AZ 85306. The listed phone number is (602) 543-8019.

What is Arizona State University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Arizona State University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0880135) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arizona State University was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.