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EMINENCE MEDICAL CLINIC PLLC
NPI 1316653579
Nurse Practitioner - Family in Mesa, AZ

Active since January 30, 2023CLIA 03D2293163 · Waiver
2815 S ALMA SCHOOL RD STE 112, MESA, AZ 85210(480) 221-2227 Get Directions Write a Review

NPPES record last updated: May 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2023, Aug 30, 2023, Jul 6, 2023 and 4 more (7 updates tracked since 2023).

About Eminence Medical Clinic Pllc NPPES

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

EMINENCE MEDICAL CLINIC PLLC (NPI 1316653579) is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Leah Echiverri, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316653579
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEMINENCE MEDICAL CLINIC PLLC
Location Address2815 S ALMA SCHOOL RD STE 112Mesa, AZ 85210-4046
Mailing Address2815 S Alma School Rd Ste 112Mesa, AZ 85210-4046 · (602) 402-5059 · Fax (623) 321-1508
Phone(480) 221-2227
Organization SubpartNo
Authorized OfficialLeah EchiverriCeo · (480) 221-2227
Enumeration DateJanuary 30, 2023
Last NPPES UpdateMay 25, 20247 updates tracked since enumeration
NPPES CertifiedMay 25, 2024
✔ NPI 1316653579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2815 S ALMA SCHOOL RD STE 112, Mesa, AZ 85210
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 03D2293163

Eminence Medical Clinic · Mesa, AZ
Active · expires Nov 2, 2027
CLIA Number03D2293163
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorLeah Echiverri
Laboratory Phone(602) 402-5059
Laboratory LocationEminence Medical Clinic2815 S Alma School Rd Ste 112-113, Mesa, AZ 85210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

KIMBERLY DAWN LEE APRN
Nurse Practitioner (Family)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210
Maricopa County (480) 795-8577
ELEVATE MEDICAL GROUP PLLC
Nurse Practitioner (Family)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210
Maricopa County (480) 506-9701
LEAH JHOANA ECHIVERRI NP
Nurse Practitioner (Adult Health)
2815 S ALMA SCHOOL RD STE 112
MESA, AZ 85210
Maricopa County (480) 221-2227

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 Eminence Medical Clinic PLLC's NPI number?

The NPI number for Eminence Medical Clinic PLLC is 1316653579. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Eminence Medical Clinic PLLC located?

Eminence Medical Clinic PLLC is located at 2815 S Alma School Rd Ste 112, Mesa, AZ 85210. The listed phone number is (480) 221-2227.

What is Eminence Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Eminence Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2293163) is associated with this NPI, valid through November 2, 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 Eminence Medical Clinic PLLC was last updated on May 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.