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EAST VALLEY PHOENIX ASC LLC
NPI 1417530296
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since April 30, 2021
4555 E INVERNESS AVE STE 101, MESA, AZ 85206(610) 644-8900 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Valley Phoenix Asc Llc NPPES

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

EAST VALLEY PHOENIX ASC LLC (NPI 1417530296) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since April 2021. The organization lists Gregg Miller, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1417530296
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST VALLEY PHOENIX ASC LLC
Location Address4555 E INVERNESS AVE STE 101Mesa, AZ 85206-4630
Mailing Address40 Valley Stream Pkwy Ste 100Malvern, PA 19355-1407 · (610) 644-8900 · Fax (484) 924-0053
Phone(610) 644-8900
Organization SubpartNo
Authorized OfficialGregg MillerSenior Vice President · (610) 644-8900
Enumeration DateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1417530296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4555 E INVERNESS AVE STE 101, Mesa, AZ 85206
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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 East Valley Phoenix ASC LLC's NPI number?

The NPI number for East Valley Phoenix ASC LLC is 1417530296. It was assigned to this organization in the NPPES registry on April 30, 2021.

Where is East Valley Phoenix ASC LLC located?

East Valley Phoenix ASC LLC is located at 4555 E Inverness Ave Ste 101, Mesa, AZ 85206. The listed phone number is (610) 644-8900.

What is East Valley Phoenix ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for East Valley Phoenix ASC LLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.