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HEARTFIT FOR DUTY LLC
NPI 1295009561
Family Medicine in Gilbert, AZ

Active since March 02, 2012CLIA Certified · 2 labs
633 E RAY RD, SUITE 101, GILBERT, AZ 85296(480) 999-7911(480) 499-5829 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heartfit For Duty Llc NPPES

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

HEARTFIT FOR DUTY LLC (NPI 1295009561) is a healthcare organization registered as a family medicine in Gilbert, Arizona and active in the NPI registry since March 2012. The organization holds 2 active CLIA laboratory certificates and lists Kepra L Jack, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1295009561
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEARTFIT FOR DUTY LLC
Location Address633 E RAY RD, SUITE 101Gilbert, AZ 85296-4200
Mailing Address4192 E Palm Beach DrChandler, AZ 85249-7398 · (602) 402-5090
Phone(480) 999-7911
Fax(480) 499-5829
Organization SubpartNo
Authorized OfficialKepra L JackDirector Of Operations · (602) 402-5090
Enumeration DateMarch 2, 2012
Last NPPES UpdateApril 2, 2013
✔ NPI 1295009561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP3059 (AZ)
633 E RAY RD, Gilbert, AZ 85296
Open in Google Maps ↗

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 2

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 03D2125597

Heartfit For Duty, LLC · Mesa, AZ
Active · expires Feb 9, 2027
CLIA Number03D2125597
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorJoshua Zeidler
Laboratory Phone(480) 999-7911
Laboratory LocationHeartfit For Duty, LLC1901 E University Dr Ste 200, Mesa, AZ 85203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2125599

Heartfit For Duty, LLC · Glendale, AZ
Active · expires Feb 9, 2027
CLIA Number03D2125599
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorKepra Jack
Laboratory Phone(480) 999-7911
Laboratory LocationHeartfit For Duty, LLC5620 W Thunderbird Rd Bldg C Ste C1, Glendale, AZ 85306
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. BRIAN WRIGHT D.C.
Chiropractor
633 E RAY RD, STE 110
GILBERT, AZ 85296
Maricopa County (480) 222-6059
MS. JULIA CRUZ SPAIN LPC
Counselor (Professional)
633 E RAY RD, SUITE 107
GILBERT, AZ 85296
Maricopa County (602) 697-1023
DR. KATHERYN J. SWEDROCK N.D.
Naturopath
633 E RAY RD, SUITE 110
GILBERT, AZ 85296
Maricopa County (480) 510-1747
DR. ELIZABETH M TANDY DMD
Dentist (Periodontics)
633 E RAY RD, SUITE 104
GILBERT, AZ 85296
Maricopa County (480) 782-1131
ALLERY AND ASTHMA CENTER OF ARIZONA PLC
Allergy & Immunology
633 E RAY RD, 101
GILBERT, AZ 85296
Maricopa County (480) 855-0664
WRIGHT CHIROPRACTIC LLC
Clinic/Center (Multi-Specialty)
633 E RAY RD, STE 110
GILBERT, AZ 85296
Maricopa County (480) 222-6059
ARIZONA SUN FAMILY MEDICINE P.C.
Family Medicine
633 E RAY RD, #101
GILBERT, AZ 85296
Maricopa County (480) 222-1171
DR. MIKKEL JARMAN
Podiatrist (Foot & Ankle Surgery)
633 E RAY RD, STE 128
GILBERT, AZ 85296
Maricopa County (480) 497-3946

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 Heartfit For Duty LLC's NPI number?

The NPI number for Heartfit For Duty LLC is 1295009561. It was assigned to this organization in the NPPES registry on March 2, 2012.

Where is Heartfit For Duty LLC located?

Heartfit For Duty LLC is located at 633 E Ray Rd Suite 101, Gilbert, AZ 85296. The listed phone number is (480) 999-7911.

What is Heartfit For Duty LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Heartfit For Duty LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Heartfit For Duty LLC was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.