JACKRABBIT FAMILY MEDICINE INC
NPI 1427258706
Clinic/Center - Primary Care in Phoenix, AZ

Active since July 24, 2007CLIA 03D0971549 · Waiver
4141 N 32ND ST, SUITE 105, PHOENIX, AZ 85018(602) 279-2337(602) 448-8321 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackrabbit Family Medicine Inc NPPES

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

JACKRABBIT FAMILY MEDICINE INC (NPI 1427258706) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Gabrielle Julie Goodrick, President, as its authorized official.

NPPES Registry Identity

NPI1427258706
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACKRABBIT FAMILY MEDICINE INC
Location Address4141 N 32ND ST, SUITE 105Phoenix, AZ 85018-4775
Mailing Address4141 N 32nd St, Suite 105Phoenix, AZ 85018-4775 · (602) 279-2337 · Fax (602) 448-8321
Fax(602) 448-8321
Organization SubpartNo
Authorized OfficialGabrielle Julie GoodrickPresident · (602) 279-2337
Enumeration DateJuly 24, 2007
Last NPPES UpdateJanuary 3, 2019
NPI 1427258706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in AZ · 22811
4141 N 32ND ST, Phoenix, AZ 85018

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 03D0971549

Jackrabbit Family Medicine PC · Phoenix, AZ
Active · expires Mar 28, 2028
CLIA Number03D0971549
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorGabrielle J. Goodrick MD
Laboratory Phone(602) 279-2337
Laboratory LocationJackrabbit Family Medicine PC4141 N 32nd St Ste 105, Phoenix, AZ 85018
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 2

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

Clinic/Center (Sleep Disorder Diagnostic)
4141 N 32ND ST, SUITE 104
PHOENIX, AZ 85018
Dentist (Endodontics)
4141 N 32ND ST, SUITE 100
PHOENIX, AZ 85018

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 Jackrabbit Family Medicine Inc's NPI number?

The NPI number for Jackrabbit Family Medicine Inc is 1427258706. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Jackrabbit Family Medicine Inc located?

Jackrabbit Family Medicine Inc is located at 4141 N 32nd St Suite 105, Phoenix, AZ 85018. The listed phone number is (602) 279-2337.

What is Jackrabbit Family Medicine Inc's specialty?

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

Does Jackrabbit Family Medicine Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0971549) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackrabbit Family Medicine Inc was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.