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SOBERMAN'S ESTATE LLC
NPI 1538706775
Clinic/Center - Rehabilitation, Substance Use Disorder in Cave Creek, AZ

Active since December 06, 2019CLIA 03D2162317 · Waiver
3010 E CLOUD RD, CAVE CREEK, AZ 85331(602) 295-8013 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Soberman's Estate Llc NPPES

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

SOBERMAN'S ESTATE LLC (NPI 1538706775) is a healthcare organization registered as a rehabilitation, substance use disorder in Cave Creek, Arizona and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Mitch Prager, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538706775
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOBERMAN'S ESTATE LLC
Location Address3010 E CLOUD RDCave Creek, AZ 85331-5621
Mailing Address100 Easy St Unit 5167Carefree, AZ 85377-7116 · (602) 295-8013 · Fax (833) 969-0106
Phone(602) 295-8013
Organization SubpartNo
Authorized OfficialMitch PragerCeo · (602) 295-8013
Enumeration DateDecember 6, 2019
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1538706775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3010 E CLOUD RD, Cave Creek, AZ 85331
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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 03D2162317

Soberman's Estate · Cave Creek, AZ
Active · expires Feb 19, 2027
CLIA Number03D2162317
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorThomas D. Gazda
Laboratory Phone(602) 295-8013
Laboratory LocationSoberman's Estate3010 E Cloud Rd, Cave Creek, AZ 85331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Soberman's Estate LLC's NPI number?

The NPI number for Soberman's Estate LLC is 1538706775. It was assigned to this organization in the NPPES registry on December 6, 2019.

Where is Soberman's Estate LLC located?

Soberman's Estate LLC is located at 3010 E Cloud Rd, Cave Creek, AZ 85331. The listed phone number is (602) 295-8013.

What is Soberman's Estate LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Soberman's Estate LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2162317) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Soberman's Estate LLC was last updated on March 16, 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.