CHOOSE LIFE WELLNESS
NPI 1508553231
Clinic/Center - Health Service in Phoenix, AZ

Active since April 21, 2023CLIA 03D2322778 · Waiver
4222 N 12TH ST, PHOENIX, AZ 85014(602) 714-5100(602) 935-9935 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Choose Life Wellness NPPES

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

CHOOSE LIFE WELLNESS (NPI 1508553231) is a healthcare organization registered as a health service in Phoenix, Arizona and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Angela Crowder, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508553231
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCHOOSE LIFE WELLNESS
Location Address4222 N 12TH STPhoenix, AZ 85014-6008
Mailing AddressPo Box 50481Phoenix, AZ 85076-0481 · (480) 228-7800
Fax(602) 935-9935
Organization SubpartNo
Authorized OfficialAngela CrowderChief Executive Officer · (480) 208-7511
Enumeration DateApril 21, 2023
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1508553231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4222 N 12TH ST, Phoenix, AZ 85014

Accepted Insurance

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 03D2322778

Choose Life Wellness · Phoenix, AZ
Active · expires Apr 24, 2027
CLIA Number03D2322778
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorMianna M. Gale
Laboratory Phone(602) 714-5100
Laboratory LocationChoose Life Wellness8385 N 7th St, Phoenix, AZ 85020
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 3

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

Chiropractor
4222 N 12TH ST
PHOENIX, AZ 85014
Nurse Practitioner (Psychiatric/Mental Health)
4222 N 12TH ST
PHOENIX, AZ 85014
Chiropractor
4222 N 12TH ST, SUITE101
PHOENIX, AZ 85014

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 Choose Life Wellness's NPI number?

The NPI number for Choose Life Wellness is 1508553231. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is Choose Life Wellness located?

Choose Life Wellness is located at 4222 N 12th St, Phoenix, AZ 85014. The listed phone number is (602) 714-5100.

What is Choose Life Wellness's specialty?

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

Does Choose Life Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2322778) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Choose Life Wellness accept?

Health plans from Ambetter from Arizona Complete Health list Choose Life Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Choose Life Wellness was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.