WHITE TANK MEDICAL PLLC
NPI 1306549837
Family Medicine in Surprise, AZ
About White Tank Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE TANK MEDICAL PLLC (NPI 1306549837) is a healthcare organization registered as a family medicine in Surprise, Arizona and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Justin James Woodside, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Group Practice 1
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 03D2273967
White Tank Medical PLLC · Surprise, AZOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SURPRISE, AZ 85374
SURPRISE, AZ 85374
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 White Tank Medical PLLC's NPI number?
The NPI number for White Tank Medical PLLC is 1306549837. It was assigned to this organization in the NPPES registry on March 23, 2023.
Where is White Tank Medical PLLC located?
White Tank Medical PLLC is located at 18761 N Reems Rd Ste 400, Surprise, AZ 85374. The listed phone number is (623) 583-9180.
What is White Tank Medical PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does White Tank Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2273967) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for White Tank Medical PLLC was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
