ANDERSON SPRING MEDICAL GROUP, LLC - NPI 1497228548 - General Practice in Chandler, AZ

Q: What is Anderson Spring Medical Group, LLC's NPI number?

The NPI number for Anderson Spring Medical Group, LLC is 1497228548. It was assigned to this organization in the NPPES registry on January 10, 2019.

Q: What is Anderson Spring Medical Group, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Anderson Spring Medical Group, Llc NPPES

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

ANDERSON SPRING MEDICAL GROUP, LLC (NPI 1497228548) is a healthcare organization registered as a general practice in Chandler, Arizona and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Radman Rahiminejad, Owner, as its authorized official.

NPPES Registry Identity

NPI1497228548

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameANDERSON SPRING MEDICAL GROUP, LLC

Location Address1949 W RAY RD STE 23Chandler, AZ 85224-4008

Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260

Phone(480) 917-1720

Fax(480) 926-2260

Organization SubpartNo

Authorized OfficialRadman RahiminejadOwner · (480) 926-7800

Enumeration DateJanuary 10, 2019

Last NPPES UpdateJanuary 5, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2023

✔ NPI 1497228548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedChiropractorTaxonomy 111N00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1949 W RAY RD STE 23, Chandler, AZ 85224

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2153587

Anderson Spring Medical Group LLC · Chandler, AZ

Active · expires Aug 27, 2026

CLIA Number03D2153587

Laboratory TypePhysician Office

Certificate Effective DateAugust 28, 2024

Certificate Expiration DateAugust 27, 2026

Laboratory DirectorMartha Reyes

Laboratory Phone(480) 926-7800

Laboratory LocationAnderson Spring Medical Group LLC1949 W Ray Rd, Suite 23, Chandler, AZ 85224

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 10

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

NORTH CHANDLER MEDICAL GROUP LLC

General Practice