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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: August 02, 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 18913 N 19th AvePhoenix, AZ 85021-4206 · Phone (602) 858-4361 · Fax (480) 906-2176
Location 22940 S 6th AveTucson, AZ 85713-4705 · Phone (520) 613-1001 · Fax (520) 504-6483
Location 35455 E Speedway BlvdTucson, AZ 85712-4923 · Phone (520) 505-8912 · Fax (888) 355-6926
Location 46843 E Main StMesa, AZ 85207-8207 · Phone (480) 870-7300 · Fax (480) 906-2172
Location 59550 E Golf Links Rd Ste 100Tucson, AZ 85730-1400 · Phone (520) 910-0207 · Fax (855) 576-4748
Location 61740 E Fort Lowell Rd Ste 100Tucson, AZ 85719-2384 · Phone (520) 613-0001 · Fax (520) 504-6482
Location 717674 N Litchfield RdSurprise, AZ 85374-2478 · Phone (623) 281-3001 · Fax (480) 906-2180
Location 89750 W Peoria Ave Ste 120Peoria, AZ 85345-6108 · Phone (623) 281-1620 · Fax (480) 906-2178
Location 95100 E Broadway BlvdTucson, AZ 85711-3762 · Phone (520) 613-3001 · Fax (520) 504-6481
Location 102265 W Ina RdTucson, AZ 85741-2650 · Phone (520) 702-3637 · Fax (855) 576-4111
Location 11725 W Apache Trl Ste 4Apache Junction, AZ 85120-3963 · Phone (480) 870-7130 · Fax (480) 906-2171
Location 124420 E McDowell RdPhoenix, AZ 85008-4504 · Phone (602) 858-4295 · Fax (480) 906-2177
Location 131060 E Southern Ave Ste 106Mesa, AZ 85204-5058 · Phone (480) 870-7400 · Fax (480) 906-2174
Location 1410050 W Bell Rd Ste 35Sun City, AZ 85351-1290 · Phone (623) 281-1130 · Fax (480) 906-2179
Location 154220 W Bethany Home RdPhoenix, AZ 85019-1808 · Phone (623) 281-1258 · Fax (480) 906-2175

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 03D2324966

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health-Avondale · Tucson, AZ
Active · expires Jun 3, 2027
CLIA Number03D2324966
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 505-8912
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health-Avondale5455 E Speedway Blvd, Tucson, AZ 85712
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 03D2318318

Archwell Health Professional Services Of Arizona, LLC Dba Archwell Health-Harrison Hills · Tucson, AZ
Active · expires Feb 9, 2027
CLIA Number03D2318318
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 910-0207
Laboratory LocationArchwell Health Professional Services Of Arizona, LLC Dba Archwell Health-Harrison Hills9550 E Golf Links Rd Ste 100, Tucson, AZ 85730
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 03D2315292

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health Casas Adobes · Tucson, AZ
Active · expires Dec 9, 2026
CLIA Number03D2315292
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorDonald J. Goddard
Laboratory Phone(520) 702-3637
Laboratory LocationArchwell Health Professional Services Of Arizona LLC Dba Archwell Health Casas Adobes2265 W Ina Rd, Tucson, AZ 85741
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 03D2266926

Archwell Health Professional Services Of Arizona LLC Dba Archwell Health - South Tucson · Tucson, AZ
Active · expires Aug 16, 2026
CLIA Number03D2266926
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
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, 2026
CLIA Number03D2266929
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
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, 2026
CLIA Number03D2266930
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
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.

Other Providers at the Same Location NPPES 12

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
JOHN STUART MARTIN MD
Internal 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

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 4 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.