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ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC
NPI 1558026880
Internal Medicine in Mesa, AZ

Active since November 02, 2021CLIA Certified · 16 labs
4315 E MAIN ST, MESA, AZ 85205(480) 870-7500(480) 906-2173 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 11, 2026, Apr 5, 2023, Oct 24, 2022 and 3 more (6 updates tracked since 2021).

About Archwell Health Professional Services Of Arizona, Llc NPPES

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

ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC (NPI 1558026880) is a healthcare organization registered as an internal medicine in Mesa, Arizona and active in the NPI registry since November 2021. The organization holds 16 active CLIA laboratory certificates, maintains 15 additional practice locations, and lists Amy Moddesette, Sr. Director, Managed Care Ops, as its authorized official.

NPPES Registry Identity

NPI1558026880
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC
Location Address4315 E MAIN STMesa, AZ 85205-8605
Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250
Phone(480) 870-7500
Fax(480) 906-2173
Organization SubpartNo
Authorized OfficialAmy ModdesetteSr. Director, Managed Care Ops · (629) 224-1614
Enumeration DateNovember 2, 2021
Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1558026880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
4315 E MAIN ST, Mesa, AZ 85205
Open in Google Maps ↗

Secondary Practice Locations 15

Location 14420 E McDowell RdPhoenix, AZ 85008-4504 · Phone (602) 858-4295 · Fax (480) 906-2177
Location 24220 W Bethany Home RdPhoenix, AZ 85019-1808 · Phone (623) 281-1258 · Fax (480) 906-2175
Location 310050 W Bell Rd Ste 35Sun City, AZ 85351-1290 · Phone (623) 281-1130 · Fax (480) 906-2179
Location 48913 N 19th AvePhoenix, AZ 85021-4206 · Phone (602) 858-4361 · Fax (480) 906-2176
Location 52940 S 6th AveTucson, AZ 85713-4705 · Phone (520) 613-1001 · Fax (520) 504-6483
Location 65455 E Speedway BlvdTucson, AZ 85712-4923 · Phone (520) 505-8912 · Fax (888) 355-6926
Location 76843 E Main StMesa, AZ 85207-8207 · Phone (480) 870-7300 · Fax (480) 906-2172
Location 8725 W Apache Trl Ste 4Apache Junction, AZ 85120-3963 · Phone (480) 870-7130 · Fax (480) 906-2171
Location 99550 E Golf Links Rd Ste 100Tucson, AZ 85730-1400 · Phone (520) 910-0207 · Fax (855) 576-4748
Location 101060 E Southern Ave Ste 106Mesa, AZ 85204-5058 · Phone (480) 870-7400 · Fax (480) 906-2174
Location 112265 W Ina RdTucson, AZ 85741-2650 · Phone (520) 702-3637 · Fax (855) 576-4111
Location 121740 E Fort Lowell Rd Ste 100Tucson, AZ 85719-2384 · Phone (520) 613-0001 · Fax (520) 504-6482
Location 1317674 N Litchfield RdSurprise, AZ 85374-2478 · Phone (623) 281-3001 · Fax (480) 906-2180
Location 149750 W Peoria Ave Ste 120Peoria, AZ 85345-6108 · Phone (623) 281-1620 · Fax (480) 906-2178
Location 155100 E Broadway BlvdTucson, AZ 85711-3762 · Phone (520) 613-3001 · Fax (520) 504-6481

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 16

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 03D2266926

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - South Tucson · Tucson, AZ
Active · expires Aug 16, 2028
CLIA Number03D2266926
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 613-1001
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - South Tucson2940 S 6th Ave, Tucson, AZ 85713
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2266929

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - Peoria · Peoria, AZ
Active · expires Aug 16, 2028
CLIA Number03D2266929
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(623) 281-1620
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - Peoria9750 W Peoria Ave, Peoria, AZ 85345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2266930

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - North Campbell · Tucson, AZ
Active · expires Aug 16, 2028
CLIA Number03D2266930
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 613-0001
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - North Campbell1740 E Fort Lowell Rd Ste 100, Tucson, AZ 85719
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2266932

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - East Tucson · Tucson, AZ
Active · expires Aug 16, 2028
CLIA Number03D2266932
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 613-3001
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - East Tucson5100 E Broadway, Tucson, AZ 85711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2266719

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - Sun City · Sun City, AZ
Active · expires Aug 14, 2028
CLIA Number03D2266719
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(623) 281-1130
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - Sun City10050 W Bell Rd Ste 35, Sun City, AZ 85351
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2266720

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - Bethany Home · Phoenix, AZ
Active · expires Aug 14, 2028
CLIA Number03D2266720
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorDonald J. Goddard
Laboratory Phone(623) 281-1258
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health - Bethany Home4220 W Bethany Home Rd, Phoenix, AZ 85019
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 11

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

NASRIN JAZAYERI N.P.
Nurse Practitioner (Family)
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
CHANCE ALLAN JUDD PA-C
Physician Assistant
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
DR. JAY MITCHELL PHARM.D
Pharmacist
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 654-0260
SPENCER CASEY SCOTT DO
Family Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
LISA L FULLER M.D.
Preventive Medicine (Occupational Medicine)
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
DR. ANNA SOKOLOWSKI M.D.
Family Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500
MRS. WENDY L DODT RPH
Pharmacist
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 654-0260
DR. IRAM H KHAN M.D.
Internal Medicine
4315 E MAIN ST
MESA, AZ 85205
Maricopa County (480) 870-7500

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 Archwell Health Professional Services Of Arizona, LLC's NPI number?

The NPI number for Archwell Health Professional Services Of Arizona, LLC is 1558026880. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Archwell Health Professional Services Of Arizona, LLC located?

Archwell Health Professional Services Of Arizona, LLC is located at 4315 E Main St, Mesa, AZ 85205. The listed phone number is (480) 870-7500.

What is Archwell Health Professional Services Of Arizona, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Archwell Health Professional Services Of Arizona, LLC hold CLIA laboratory certificates?

Yes. 16 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Archwell Health Professional Services Of Arizona, LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.