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SCOTTSDALE DETOX
NPI 1437861259
Substance Abuse Rehabilitation Facility in Scottsdale, AZ

Active since December 23, 2022CLIA 03D2131386 · Waiver
7283 E EARLL DR BLDG B, SCOTTSDALE, AZ 85251(480) 549-2220 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Dec 23, 2022 (2 updates tracked since 2022).

About Scottsdale Detox NPPES

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

SCOTTSDALE DETOX (NPI 1437861259) is a healthcare organization registered as a substance abuse rehabilitation facility in Scottsdale, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Quinn Mccullough, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437861259
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSCOTTSDALE MODERN DETOX LLC
Location Address7283 E EARLL DR BLDG BScottsdale, AZ 85251-7230
Mailing Address7904 E Chaparral Rd Ste A110-473Scottsdale, AZ 85250-7370
Phone(480) 549-2220
Organization SubpartNo
Authorized OfficialQuinn McculloughCeo · (480) 466-8754
Enumeration DateDecember 23, 2022
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1437861259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
7283 E EARLL DR BLDG B, Scottsdale, AZ 85251
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Other Names 1

Doing Business AsScottsdale Detox

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 03D2131386

Scottsdale Modern Detox LLC · Scottsdale, AZ
Active · expires May 25, 2027
CLIA Number03D2131386
Laboratory TypeInpatient Detox
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Michael Vines
Laboratory Phone(602) 451-6355
Laboratory LocationScottsdale Modern Detox LLC7283 E Earll Dr Bldg B, Scottsdale, AZ 85251
CLIA data matches this NPI record on: Address 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 Scottsdale Modern Detox LLC's NPI number?

The NPI number for Scottsdale Modern Detox LLC is 1437861259. It was assigned to this organization in the NPPES registry on December 23, 2022. The provider is doing business as Scottsdale Detox.

Where is Scottsdale Modern Detox LLC located?

Scottsdale Modern Detox LLC is located at 7283 E Earll Dr Bldg B, Scottsdale, AZ 85251. The listed phone number is (480) 549-2220.

What is Scottsdale Modern Detox LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Scottsdale Modern Detox LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2131386) is associated with this NPI, valid through May 25, 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 Scottsdale Modern Detox LLC was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.