PHOENIX UNIFIED SURGEONS PLLC
NPI 1285412320
Clinic/Center - Multi-Specialty in Phoenix, AZ
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 03D2333849
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-11-2027
About PHOENIX UNIFIED SURGEONS PLLC
This page provides the complete NPI Profile along with additional information for Phoenix Unified Surgeons Pllc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1285412320 assigned on September 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Phoenix Unified Surgeons Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Debora J Fox-mcclary Md, Mba, Facs, Fascr (Managing Partner)
- NPI
- 1285412320 Verify this NPI
- Provider Name
- PHOENIX UNIFIED SURGEONS PLLC
- Entity Type
- Organization
- Location Address
- 20333 N 19TH AVE STE 230 PHOENIX, AZ 85027
- Location Phone
- (480) 707-9504
- Location Fax
- (602) 581-7764
- Mailing Address
- PO BOX 10356 GLENDALE, AZ 85318
- Mailing Phone
- (602) 421-1299
- Mailing Fax
- (602) 581-7764
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2023
- Last Update Date
- 03-02-2025
- Code Navigator
Location Map
Secondary Locations
- 19251 E Oasis Dr
Black Canyon City, AZ 85324
(623) 374-0200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 2 | 2086X0206X | Allopathic & Osteopathic Physicians | Surgery | |
| 3 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2333849
- Facility Type
- Physician Office
- Certificate Effective Date
- November 12, 2025
- Certificate Expiration Date
- November 11, 2027
- Laboratory Director
- DEBORA FOX-MCCLARY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Phoenix Unified Surgeons Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285412320, enumerated as an "organization" on September 19, 2023.
The provider is located at 20333 N 19TH AVE STE 230 PHOENIX, AZ 85027 and the phone number is (480) 707-9504.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
