MICONA
NPI 1487784450
Clinic/Center - Health Service in Phoenix, AZ

Active since March 07, 2007
4602 N 16TH ST, SUITE 200, PHOENIX, AZ 85016(602) 264-9806(602) 264-9846 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micona NPPES

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

MICONA (NPI 1487784450) is a healthcare organization registered as a health service in Phoenix, Arizona and active in the NPI registry since March 2007. The organization lists Beverly A Watts, Sr. Vice President, as its authorized official.

NPPES Registry Identity

NPI1487784450
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.
Location Address4602 N 16TH ST, SUITE 200Phoenix, AZ 85016-5189
Mailing Address4602 N 16th St, Suite 200Phoenix, AZ 85016-5189 · (602) 264-9806 · Fax (602) 264-9846
Fax(602) 264-9846
Organization SubpartNo
Authorized OfficialBeverly A WattsSr. Vice President · (602) 264-9806
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 14, 2007
NPI 1487784450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4602 N 16TH ST, Phoenix, AZ 85016

Other Names 1

Doing Business AsMicona

Other Identifiers 1

Medicare PINZFL115AZ

Other Providers at the Same Location NPPES 5

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

Otolaryngology
4602 N 16TH ST, FL 3
PHOENIX, AZ 85016
Clinic/Center (Health Service)
4602 N 16TH ST, SUITE 200
PHOENIX, AZ 85016
Clinical Medical Laboratory
4602 N 16TH ST, SUITE 301
PHOENIX, AZ 85016
Durable Medical Equipment & Medical Supplies
4602 N 16TH ST, SUITE #305
PHOENIX, AZ 85016
Dentist (General Practice)
4602 N 16TH ST, SUITE #302
PHOENIX, AZ 85016

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 Mollen Immunization Clinics Of North America, Inc.'s NPI number?

The NPI number for Mollen Immunization Clinics Of North America, Inc. is 1487784450. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Micona.

Where is Mollen Immunization Clinics Of North America, Inc. located?

Mollen Immunization Clinics Of North America, Inc. is located at 4602 N 16th St Suite 200, Phoenix, AZ 85016. The listed phone number is (602) 264-9806.

What is Mollen Immunization Clinics Of North America, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Mollen Immunization Clinics Of North America, Inc. was last updated on November 14, 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.