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FULL LIFE MEDICAL
NPI 1316765753
Clinic/Center - Primary Care in Scottsdale, AZ

Active since October 02, 2024CLIA 03D2332131 · Waiver
9475 E IRONWOOD SQUARE DR STE 102, SCOTTSDALE, AZ 85258(480) 888-5029 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Life Medical NPPES

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

FULL LIFE MEDICAL (NPI 1316765753) is a healthcare organization registered as a primary care in Scottsdale, Arizona and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Ivorie Coleman, Physician, as its authorized official.

NPPES Registry Identity

NPI1316765753
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFULL LIFE MEDICAL
Location Address9475 E IRONWOOD SQUARE DR STE 102Scottsdale, AZ 85258-4576
Mailing Address9475 E Ironwood Square Dr Ste 102Scottsdale, AZ 85258-4576 · (480) 888-5029
Phone(480) 888-5029
Organization SubpartNo
Authorized OfficialIvorie ColemanPhysician · (480) 888-5029
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1316765753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
9475 E IRONWOOD SQUARE DR STE 102, Scottsdale, AZ 85258
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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 03D2332131

Full Life Medical · Scottsdale, AZ
Active · expires Oct 13, 2027
CLIA Number03D2332131
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorIvorie Coleman
Laboratory Phone(480) 888-5029
Laboratory LocationFull Life Medical9475 E Ironwood Square Dr Ste 102, Scottsdale, AZ 85258
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.

COLORECTAL CONSULTANTS, PLLC
Colon & Rectal Surgery
9475 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE, AZ 85258
Maricopa County (480) 240-7391
IVORIE COLEMAN MD
Internal Medicine
9475 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE, AZ 85258
Maricopa County (480) 888-5029
ARIZONA PHYSICIAN SOLUTIONS PLLC
Internal Medicine
9475 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE, AZ 85258
Maricopa County (909) 702-2251

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 Full Life Medical's NPI number?

The NPI number for Full Life Medical is 1316765753. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Full Life Medical located?

Full Life Medical is located at 9475 E Ironwood Square Dr Ste 102, Scottsdale, AZ 85258. The listed phone number is (480) 888-5029.

What is Full Life Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Full Life Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2332131) is associated with this NPI, valid through October 13, 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 Full Life Medical was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.