PHOENIX SPINE AND JOINT GILBERT ASC, LLC
NPI 1306435086
Clinic/Center - Ambulatory Surgical in Gilbert, AZ

Active since January 15, 2021CLIA 03D2214389 · Waiver
1760 E PECOS RD STE 128, GILBERT, AZ 85295(602) 256-2525(602) 256-0795 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2022, Jan 25, 2021, Jan 15, 2021 (3 updates tracked since 2021).

About Phoenix Spine And Joint Gilbert Asc, Llc NPPES

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

PHOENIX SPINE AND JOINT GILBERT ASC, LLC (NPI 1306435086) is a healthcare organization registered as an ambulatory surgical in Gilbert, Arizona and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Daniel Lieberman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306435086
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHOENIX SPINE AND JOINT GILBERT ASC, LLC
Location Address1760 E PECOS RD STE 128Gilbert, AZ 85295-3206
Mailing Address2525 E Arizona Biltmore Cir Ste D142Phoenix, AZ 85016-2147 · (602) 256-2525 · Fax (602) 256-0795
Fax(602) 256-0795
Organization SubpartNo
Authorized OfficialDaniel LiebermanCeo · (602) 256-2525
Enumeration DateJanuary 15, 2021
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
NPI 1306435086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1760 E PECOS RD STE 128, Gilbert, AZ 85295

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 03D2214389

Phoenix Spine And Joint Gilbert ASC, LLC · Gilbert, AZ
Active · expires Feb 21, 2027
CLIA Number03D2214389
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorNizamid Missaghi
Laboratory Phone(602) 256-2525
Laboratory LocationPhoenix Spine And Joint Gilbert ASC, LLC1760 E Pecos Rd Ste 128, Gilbert, AZ 85295
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 Phoenix Spine And Joint Gilbert ASC, LLC's NPI number?

The NPI number for Phoenix Spine And Joint Gilbert ASC, LLC is 1306435086. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is Phoenix Spine And Joint Gilbert ASC, LLC located?

Phoenix Spine And Joint Gilbert ASC, LLC is located at 1760 E Pecos Rd Ste 128, Gilbert, AZ 85295. The listed phone number is (602) 256-2525.

What is Phoenix Spine And Joint Gilbert ASC, LLC's specialty?

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

Does Phoenix Spine And Joint Gilbert ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2214389) is associated with this NPI, valid through February 21, 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 Phoenix Spine And Joint Gilbert ASC, LLC was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.