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ADVANCED PLASTIC SURGERY CENTER, L.L.C.
NPI 1447458591
Clinic/Center - Ambulatory Surgical in Prescott, AZ

Active since July 10, 2007CLIA 03D2091884 · Waiver
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301(928) 777-0200(928) 443-1117 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Plastic Surgery Center, L.l.c. NPPES

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

ADVANCED PLASTIC SURGERY CENTER, L.L.C. (NPI 1447458591) is a healthcare organization registered as an ambulatory surgical in Prescott, Arizona and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Mark D Fetter, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1447458591
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED PLASTIC SURGERY CENTER, L.L.C.
Location Address1615 PETROGLYPH POINT DRPrescott, AZ 86301-6539
Mailing Address1615 Petroglyph Point DrPrescott, AZ 86301-6539 · (928) 777-0200 · Fax (928) 443-1117
Phone(928) 777-0200
Fax(928) 443-1117
Organization SubpartNo
Authorized OfficialMark D FetterMedical Director · (928) 777-0200
Enumeration DateJuly 10, 2007
Last NPPES UpdateAugust 16, 2007
✔ NPI 1447458591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1615 PETROGLYPH POINT DR, Prescott, AZ 86301
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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 03D2091884

Advanced Plastic Surgery Center · Prescott, AZ
Active · expires Feb 19, 2027
CLIA Number03D2091884
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorMark D. Fetter
Laboratory Phone(928) 777-0200
Laboratory LocationAdvanced Plastic Surgery Center1615 Petroglyph Pointe, Prescott, AZ 86301
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 4

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

MALLARO ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (325) 675-6466
MARK D FETTER MD PC
Orthopaedic Surgery (Hand Surgery)
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (480) 985-1093
MARK FETTER M.D.
Specialist
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (928) 777-0200
PHOENIX ANESTHESIA SPECIALISTS, LLC
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Yavapai County (325) 660-5535

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 Advanced Plastic Surgery Center, L.L.C.'s NPI number?

The NPI number for Advanced Plastic Surgery Center, L.L.C. is 1447458591. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Advanced Plastic Surgery Center, L.L.C. located?

Advanced Plastic Surgery Center, L.L.C. is located at 1615 Petroglyph Point Dr, Prescott, AZ 86301. The listed phone number is (928) 777-0200.

What is Advanced Plastic Surgery Center, L.L.C.'s specialty?

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

Does Advanced Plastic Surgery Center, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2091884) is associated with this NPI, valid through February 19, 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 Advanced Plastic Surgery Center, L.L.C. was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.