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VERSATILE MEDICINE PLLC
NPI 1326145608
Internal Medicine in Avondale, AZ

Active since September 20, 2006CLIA 03D0925554 · Microscopy
13055 W MCDOWELL RD, SUITE E-106, AVONDALE, AZ 85392(623) 975-8400(623) 935-2975 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Versatile Medicine Pllc NPPES

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

VERSATILE MEDICINE PLLC (NPI 1326145608) is a healthcare organization registered as an internal medicine in Avondale, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through February 27, 2027 and lists Kathleen A Nichols, Physician/general Manager, as its authorized official.

NPPES Registry Identity

NPI1326145608
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVERSATILE MEDICINE PLLC
Location Address13055 W MCDOWELL RD, SUITE E-106Avondale, AZ 85392-6449
Mailing Address13055 W Mcdowell Rd, Suite E-106Avondale, AZ 85392-6449 · (623) 975-8400 · Fax (623) 935-2975
Phone(623) 975-8400
Fax(623) 935-2975
Organization SubpartNo
Authorized OfficialKathleen A NicholsPhysician/general Manager · (623) 975-8400
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 8, 2015
✔ NPI 1326145608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · AZ26993
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

13055 W MCDOWELL RD, Avondale, AZ 85392
Open in Google Maps ↗

Other Identifiers 8

OtherAZ0765500AZ · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedZ85584AZ
Medicare UPINH24006AZ
Medicaid486581001AZ
OtherAZ0761300AZ · Blue Cross Blue Shield
Medicare UPINH06555AZ
Medicare ID-Type UnspecifiedZ104450AZ
Medicaid517675AZ

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 for Provider-Performed Microscopy Procedures (PPMP) 03D0925554

Versatile Medicine PLLC Dba La Loma Internal Medicine And Pediatrics · Avondale, AZ
Active · expires Feb 27, 2027
CLIA Number03D0925554
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorKathleen Nichols, MD
Laboratory Phone(623) 975-8400
Laboratory LocationVersatile Medicine PLLC Dba La Loma Internal Medicine And Pediatrics13055 W Mcdowell Rd Ste E-106, Avondale, AZ 85392
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

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

MR. BRIAN PHAN RPH
Pharmacist
13055 W MCDOWELL RD, BLDG E STE 103
AVONDALE, AZ 85392
Maricopa County (623) 535-5822
MRS. JENNIFER ANNE LEE SILVER P.T., D.P.T.
Physical Therapist
13055 W MCDOWELL RD, STE. G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
MR. MARK RICHARD LANGENBACH P.T., M.B.A., O.C.S.
Physical Therapist
13055 W MCDOWELL RD, SUITE G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
MR. MARK ALAN PEZZELLE P.T.A.
Physical Therapy Assistant
13055 W MCDOWELL RD, STE G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
KIDSCOPE LLC
Clinic/Center (Adolescent and Children Mental Health)
13055 W MCDOWELL RD, SUITE G-112
AVONDALE, AZ 85392
Maricopa County (602) 792-5021
MR. AARON MICHAEL SPIVEY PT
Physical Therapist
13055 W MCDOWELL RD, SUITE G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
DR. KATHLEEN A NICHOLS MD
Internal Medicine
13055 W MCDOWELL RD, SUITE E-106
AVONDALE, AZ 85392
Maricopa County (623) 975-8400
DR. TERRY E HICKS WOODBECK MD
Internal Medicine
13055 W MCDOWELL RD, SUITE E-106
AVONDALE, AZ 85392
Maricopa County (623) 975-8400

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 Versatile Medicine PLLC's NPI number?

The NPI number for Versatile Medicine PLLC is 1326145608. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Versatile Medicine PLLC located?

Versatile Medicine PLLC is located at 13055 W Mcdowell Rd Suite E-106, Avondale, AZ 85392. The listed phone number is (623) 975-8400.

What is Versatile Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Versatile Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0925554) is associated with this NPI, valid through February 27, 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 Versatile Medicine PLLC was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.