SCOTTSDALE OUTPATIENT SURGERY GROUP, LLC
NPI 1306577457
Surgery - Plastic and Reconstructive Surgery in Scottsdale, AZ

Active since June 20, 2022CLIA 03D2164725 · Waiver
8994 E DESERT COVE AVE STE B, SCOTTSDALE, AZ 85260(480) 551-2040 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Scottsdale Outpatient Surgery Group, Llc NPPES

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

SCOTTSDALE OUTPATIENT SURGERY GROUP, LLC (NPI 1306577457) is a healthcare organization registered as a plastic and reconstructive surgery in Scottsdale, Arizona and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Marcel Malek, Medical Director/sole Member, as its authorized official.

NPPES Registry Identity

NPI1306577457
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSCOTTSDALE OUTPATIENT SURGERY GROUP, LLC
Location Address8994 E DESERT COVE AVE STE BScottsdale, AZ 85260-7901
Mailing Address8994 E Desert Cove Ave Ste BScottsdale, AZ 85260-7901 · (602) 510-3203
Organization SubpartNo
Authorized OfficialMarcel MalekMedical Director/sole Member · (480) 551-2040
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1306577457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
8994 E DESERT COVE AVE STE B, Scottsdale, AZ 85260

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

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 03D2164725

Scottsdale Outpatient Surgery Center · Scottsdale, AZ
Active · expires Apr 10, 2027
CLIA Number03D2164725
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorMarcel Malek
Laboratory Phone(602) 510-3203
Laboratory LocationScottsdale Outpatient Surgery Center8994 E Desert Cove Ave, Scottsdale, AZ 85260
CLIA data matches this NPI record on: Address 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 Scottsdale Outpatient Surgery Group, LLC's NPI number?

The NPI number for Scottsdale Outpatient Surgery Group, LLC is 1306577457. It was assigned to this organization in the NPPES registry on June 20, 2022.

Where is Scottsdale Outpatient Surgery Group, LLC located?

Scottsdale Outpatient Surgery Group, LLC is located at 8994 E Desert Cove Ave Ste B, Scottsdale, AZ 85260. The listed phone number is (480) 551-2040.

What is Scottsdale Outpatient Surgery Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Scottsdale Outpatient Surgery Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2164725) is associated with this NPI, valid through April 10, 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 Scottsdale Outpatient Surgery Group, LLC was last updated on June 20, 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.