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MOON VALLEY MEDICAL CENTER PC
NPI 1396956918
Family Medicine in Phoenix, AZ

Active since May 25, 2007CLIA 03D2140550 · Waiver
13206 NORTH 7TH STREET, PHOENIX, AZ 85022(602) 866-2277(602) 866-7998 Get Directions Write a Review

NPPES record last updated: November 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moon Valley Medical Center Pc NPPES

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

MOON VALLEY MEDICAL CENTER PC (NPI 1396956918) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Leslie Diane Edison, President, as its authorized official.

NPPES Registry Identity

NPI1396956918
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOON VALLEY MEDICAL CENTER PC
Location Address13206 NORTH 7TH STREETPhoenix, AZ 85022
Mailing Address13206 North 7th StreetPhoenix, AZ 85022 · (602) 866-2277 · Fax (602) 866-7998
Phone(602) 866-2277
Fax(602) 866-7998
Organization SubpartNo
Authorized OfficialLeslie Diane EdisonPresident · (602) 866-2277
Enumeration DateMay 25, 2007
Last NPPES UpdateNovember 23, 2009
✔ NPI 1396956918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 2491
Definition
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.
13206 NORTH 7TH STREET, Phoenix, AZ 85022
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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 03D2140550

Moon Valley Medical Center, PC · Phoenix, AZ
Active · expires Nov 21, 2027
CLIA Number03D2140550
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorLeslie D. Edison
Laboratory Phone(602) 866-2277
Laboratory LocationMoon Valley Medical Center, PC13825 N 7th St Ste A, Phoenix, AZ 85022
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LESLIE DIANE EDISON DO
Family Medicine
13206 NORTH 7TH STREET
PHOENIX, AZ 85022
Maricopa County (602) 866-2277

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 Moon Valley Medical Center PC's NPI number?

The NPI number for Moon Valley Medical Center PC is 1396956918. It was assigned to this organization in the NPPES registry on May 25, 2007.

Where is Moon Valley Medical Center PC located?

Moon Valley Medical Center PC is located at 13206 North 7th Street, Phoenix, AZ 85022. The listed phone number is (602) 866-2277.

What is Moon Valley Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Moon Valley Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2140550) is associated with this NPI, valid through November 21, 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 Moon Valley Medical Center PC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.