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MOVEMENT DISORDERS CENTER OF ARIZONA LLC
NPI 1295050409
Psychiatry & Neurology - Neurology in Surprise, AZ

Active since March 30, 2010CLIA 03D2068137 · Waiver
13945 W GRAND AVE, SUITE 102, SURPRISE, AZ 85374(480) 526-5441(480) 526-5443 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Movement Disorders Center Of Arizona Llc NPPES

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

MOVEMENT DISORDERS CENTER OF ARIZONA LLC (NPI 1295050409) is a healthcare organization registered as a neurology in Surprise, Arizona and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Virgilio Gerald Hilario Evidente, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1295050409
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMOVEMENT DISORDERS CENTER OF ARIZONA LLC
Location Address13945 W GRAND AVE, SUITE 102Surprise, AZ 85374-2437
Mailing Address10635 N 140th WayScottsdale, AZ 85259-5500 · (480) 526-5449 · Fax (480) 526-5443
Phone(480) 526-5441
Fax(480) 526-5443
Organization SubpartNo
Authorized OfficialVirgilio Gerald Hilario EvidenteSole Member · (480) 526-5449
Enumeration DateMarch 30, 2010
Last NPPES UpdateMay 2, 2012
✔ NPI 1295050409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
13945 W GRAND AVE, Surprise, AZ 85374
Open in Google Maps ↗

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 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 of Waiver 03D2068137

Movement Disorders Center Of Arizona LLC · Scottsdale, AZ
Active · expires Oct 27, 2027
CLIA Number03D2068137
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorVirgilio G H. Evidente
Laboratory Phone(480) 526-5441
Laboratory LocationMovement Disorders Center Of Arizona LLC9500 E Ironwood Square Dr Ste 118, Scottsdale, AZ 85258
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 5

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

DR. BARBARA KAROLINA BIALOWOLSKA-ROMANIUK M.D.
Internal Medicine
13945 W GRAND AVE, SUITE A-105
SURPRISE, AZ 85374
Maricopa County (623) 546-0007
ANTONIO V. YU JR., M.D.,P.C.
Internal Medicine
13945 W GRAND AVE, SUITE A 102
SURPRISE, AZ 85374
Maricopa County (623) 556-2252
BESTCARE INTERNAL MEDICINE, PLLC
Internal Medicine
13945 W GRAND AVE, SUITE A-105
SURPRISE, AZ 85374
Maricopa County (623) 546-0007
MS. LORRAINE STEVENS P.A.
Physician Assistant (Medical)
13945 W GRAND AVE, SUITE 105
SURPRISE, AZ 85374
Maricopa County (623) 546-0007
GENERATIONS FAMILY MEDICINE PC
Preferred Provider Organization
13945 W GRAND AVE, SUITE A-101
SURPRISE, AZ 85374
Maricopa County (623) 537-5170

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 Movement Disorders Center Of Arizona LLC's NPI number?

The NPI number for Movement Disorders Center Of Arizona LLC is 1295050409. It was assigned to this organization in the NPPES registry on March 30, 2010.

Where is Movement Disorders Center Of Arizona LLC located?

Movement Disorders Center Of Arizona LLC is located at 13945 W Grand Ave Suite 102, Surprise, AZ 85374. The listed phone number is (480) 526-5441.

What is Movement Disorders Center Of Arizona LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Movement Disorders Center Of Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2068137) is associated with this NPI, valid through October 27, 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 Movement Disorders Center Of Arizona LLC was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.