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EXCEL SURGICAL CENTER LLC
NPI 1508516352
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since March 25, 2022CLIA 03D2257684 · Waiver
6424 E BROADWAY RD STE 102, MESA, AZ 85206(480) 634-4606 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Excel Surgical Center Llc NPPES

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

EXCEL SURGICAL CENTER LLC (NPI 1508516352) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Brandie Hernandez, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1508516352
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEXCEL SURGICAL CENTER LLC
Location Address6424 E BROADWAY RD STE 102Mesa, AZ 85206-1750
Mailing Address6424 E Broadway Rd Ste 102Mesa, AZ 85206-1750 · (480) 634-4606
Phone(480) 634-4606
Organization SubpartNo
Authorized OfficialBrandie HernandezDirector Of Operations · (480) 634-4606
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1508516352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6424 E BROADWAY RD STE 102, Mesa, AZ 85206
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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 03D2257684

Excel Surgical Center, LLC · Mesa, AZ
Active · expires Apr 7, 2028
CLIA Number03D2257684
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorMichael Givens
Laboratory Phone(480) 634-4606
Laboratory LocationExcel Surgical Center, LLC6424 E Broadway Rd Ste 102, Mesa, AZ 85206
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 20

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

VITO ANESTHESIA LLC
Anesthesiology
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606
PINE MONITORING LLC
Psychiatry & Neurology (Neurology)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (602) 354-5310
OPTIMAL TECH LLC
Clinic/Center (Health Service)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606
PEAK SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606
SIMPLICITY CARE ASSOCIATES LLC
Clinic/Center (Medical Specialty)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606
GILBERTS PREMIER SURGICAL AMBULATORY CENTER LLC
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606
VERVE SURGICAL INSTITUTE, INC.
Clinic/Center (Ambulatory Surgical)
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (602) 527-0791
DESSALINES SPORTS MEDICINE, LLC
Clinic/Center
6424 E BROADWAY RD STE 102
MESA, AZ 85206
Maricopa County (480) 634-4606

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 Excel Surgical Center LLC's NPI number?

The NPI number for Excel Surgical Center LLC is 1508516352. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Excel Surgical Center LLC located?

Excel Surgical Center LLC is located at 6424 E Broadway Rd Ste 102, Mesa, AZ 85206. The listed phone number is (480) 634-4606.

What is Excel Surgical Center LLC's specialty?

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

Does Excel Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2257684) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Excel Surgical Center LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.