MCDOWELL AMBULATORY SURGERY CENTER LLC
NPI 1467217836
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since February 15, 2024CLIA 03D1041608 · Waiver
4860 E BASELINE RD STE 101, MESA, AZ 85206(602) 265-8800 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 03D1041608
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-06-2027

About MCDOWELL AMBULATORY SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Mcdowell Ambulatory Surgery Center Llc, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1467217836 assigned on February 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is James Adkins (Owner)

NPI
1467217836 Verify this NPI
Provider Name
MCDOWELL AMBULATORY SURGERY CENTER LLC
Entity Type
Organization
Location Address
4860 E BASELINE RD STE 101 MESA, AZ 85206
Location Phone
(602) 265-8800
Mailing Address
8805 N 23RD AVE STE 120 PHOENIX, AZ 85021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2024
Last Update Date
02-15-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMES ADKINS

Authorized Official Title
OWNER
Authorized Official Phone
(602) 265-8800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1041608
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 07, 2025
Certificate Expiration Date
June 06, 2027
Laboratory Director
DAWN M. REICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mcdowell Ambulatory Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
4860 E BASELINE RD STE 101
MESA, AZ 85206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467217836, enumerated as an "organization" on February 15, 2024.

The provider is located at 4860 E BASELINE RD STE 101 MESA, AZ 85206 and the phone number is (602) 265-8800.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.