ATHENIX BODY SCULPTING INSTITUTE
NPI 1255722336
Clinic/Center - Ambulatory Surgical in Fresno, CA

Active since February 11, 2015CLIA 05D2019729 · Waiver
7015 N MAPLE AVE, STE 102, FRESNO, CA 93720(559) 325-7855 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Athenix Body Sculpting Institute NPPES

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

ATHENIX BODY SCULPTING INSTITUTE (NPI 1255722336) is a healthcare organization registered as an ambulatory surgical in Fresno, California and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists James Haefner, Administration, as its authorized official.

NPPES Registry Identity

NPI1255722336
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC
Location Address7015 N MAPLE AVE, STE 102Fresno, CA 93720-8010
Mailing Address65 Enterprise, Ste 125Aliso Viejo, CA 92656-2706 · (949) 600-9931 · Fax (949) 600-8029
Organization SubpartNo
Authorized OfficialJames HaefnerAdministration · (949) 600-9931
Enumeration DateFebruary 11, 2015
NPI 1255722336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
7015 N MAPLE AVE, Fresno, CA 93720

Other Names 1

Doing Business AsAthenix Body Sculpting Institute

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 05D2019729

Athenix Body Sculpting Institute Of Fresno · Fresno, CA
Active · expires May 26, 2027
CLIA Number05D2019729
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorGavin M. Dry
Laboratory Phone(559) 325-7855
Laboratory LocationAthenix Body Sculpting Institute Of Fresno7015 N Maple Ave Ste 102, Fresno, CA 93720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Northwest Surgical Development Of Fresno LLC's NPI number?

The NPI number for Northwest Surgical Development Of Fresno LLC is 1255722336. It was assigned to this organization in the NPPES registry on February 11, 2015. The provider is doing business as Athenix Body Sculpting Institute.

Where is Northwest Surgical Development Of Fresno LLC located?

Northwest Surgical Development Of Fresno LLC is located at 7015 N Maple Ave Ste 102, Fresno, CA 93720. The listed phone number is (559) 325-7855.

What is Northwest Surgical Development Of Fresno LLC's specialty?

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

Does Northwest Surgical Development Of Fresno LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2019729) is associated with this NPI, valid through May 26, 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 Northwest Surgical Development Of Fresno LLC was last updated on February 11, 2015. 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.