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PRISM WELLNESS CENTER PLLC
NPI 1407607336
Family Medicine in Peoria, AZ

Active since March 28, 2024CLIA 03D2331870 · Waiver
9299 W OLIVE AVE STE 604, PEORIA, AZ 85345(610) 772-3325(866) 398-8310 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prism Wellness Center Pllc NPPES

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

PRISM WELLNESS CENTER PLLC (NPI 1407607336) is a healthcare organization registered as a family medicine in Peoria, Arizona and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Carolyn Collier, Np, as its authorized official.

NPPES Registry Identity

NPI1407607336
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRISM WELLNESS CENTER PLLC
Location Address9299 W OLIVE AVE STE 604Peoria, AZ 85345-8386
Mailing Address14175 W Indian School Rd # Setb4195Goodyear, AZ 85395-8407 · (610) 772-3325 · Fax (866) 398-8310
Phone(610) 772-3325
Fax(866) 398-8310
Organization SubpartNo
Authorized OfficialCarolyn CollierNp · (610) 772-3325
Enumeration DateMarch 28, 2024
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1407607336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
9299 W OLIVE AVE STE 604, Peoria, AZ 85345
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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 03D2331870

Prism Wellness Center · Goodyear, AZ
Active · expires Oct 8, 2027
CLIA Number03D2331870
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorCarolyn Collier
Laboratory Phone(866) 954-5994
Laboratory LocationPrism Wellness Center1300 S Litchfieldrd Bldg 200 Ste A10, Goodyear, AZ 85338
CLIA data matches this NPI record on: Name
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 Prism Wellness Center PLLC's NPI number?

The NPI number for Prism Wellness Center PLLC is 1407607336. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Prism Wellness Center PLLC located?

Prism Wellness Center PLLC is located at 9299 W Olive Ave Ste 604, Peoria, AZ 85345. The listed phone number is (610) 772-3325.

What is Prism Wellness Center PLLC's specialty?

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

Does Prism Wellness Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2331870) is associated with this NPI, valid through October 8, 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 Prism Wellness Center PLLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.