SOUTHWEST SKIN SPECIALISTS, LTD /
NPI 1609185347
Clinical Medical Laboratory in Scottsdale, AZ

Active since September 29, 2010CLIA 03D2012104 · Certificate of Compliance
5010 E SHEA BLVD STE 130, SCOTTSDALE, AZ 85254(602) 494-1817(602) 494-7103 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southwest Skin Specialists, Ltd / NPPES

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

SOUTHWEST SKIN SPECIALISTS, LTD / (NPI 1609185347) is a healthcare organization registered as a clinical medical laboratory in Scottsdale, Arizona and active in the NPI registry since September 2010. The organization holds a CLIA Certificate of Compliance certificate valid through December 1, 2027 and lists Howard J. Luber, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609185347
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHWEST SKIN SPECIALISTS, LLC
Location Address5010 E SHEA BLVD STE 130Scottsdale, AZ 85254-4709
Mailing Address11130 N Tatum Blvd, Suite 100Phoenix, AZ 85028-1662 · (602) 494-1817 · Fax (602) 494-7103
Fax(602) 494-7103
Organization SubpartNo
Authorized OfficialHoward J. LuberMedical Director · (602) 494-1817
Enumeration DateSeptember 29, 2010
Last NPPES UpdateDecember 11, 2018
✔ NPI 1609185347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in AZ · 98010735
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5010 E SHEA BLVD STE 130, Scottsdale, AZ 85254

Other Names 1

Doing Business AsSouthwest Skin Specialists, Ltd /

Other Identifiers 1

OtherWMBJQAZ · Medicare Id

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Skin Specialists, Ltd / is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Southwest Skin Specialists, Ltd /, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology46
Pathology3
Micrographic Dermatologic Surgery (MDS)2
Nurse Practitioner1
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 53
Pathology
NPI 1053408849
5010 E SHEA BLVD STE 130
Scottsdale, AZ 85254
(602) 494-1817
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1689037152
11130 N TATUM BLVD STE 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1265455539
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1992811947
11130 N TATUM BLVD SUITE 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1588612964
11130 N TATUM BLVD STE 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Pathology
NPI 1043288657
11130 N TATUM BLVD SUITE 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1356364624
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1679596530
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS0.4 mi
Dermatology
NPI 1629047345
11130 N TATUM BLVD STE. 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1598788457
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS0.4 mi
Dermatology
NPI 1174546444
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1083637359
11130 N TATUM BLVD #100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1396155867
11130 N TATUM BLVD STE 100
Phoenix, AZ 85028
(602) 494-1817
✔ PECOS✔ Accepts Medicare0.4 mi
Dermatology
NPI 1235544479
10900 N SCOTTSDALE RD STE 202
Scottsdale, AZ 85254
(602) 494-1817
✔ PECOS✔ Accepts Medicare2.7 mi
Dermatology
NPI 1033568761
10900 N SCOTTSDALE RD
Scottsdale, AZ 85254
(480) 210-1988
✔ PECOS✔ Accepts Medicare2.7 mi
Dermatology
NPI 1285139063
11333 N SCOTTSDALE RD STE 115
Scottsdale, AZ 85254
(480) 998-1400
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1215509336
3229 E GREENWAY RD STE 102
Phoenix, AZ 85032
(602) 788-3285
✔ PECOS✔ Accepts Medicare3.7 mi
Plastic and Reconstructive Surgery
NPI 1619301884
8994 E DESERT COVE AVE
Scottsdale, AZ 85260
(480) 551-2040
✔ PECOS✔ Accepts Medicare5.0 mi
Dermatology
NPI 1447505755
10200 N 92ND ST STE 205
Scottsdale, AZ 85258
(602) 494-1817
✔ PECOS✔ Accepts Medicare5.3 mi
Dermatology
NPI 1578776027
10200 N 92ND ST SUITE 205
Scottsdale, AZ 85258
(602) 494-1817
✔ PECOS✔ Accepts Medicare5.3 mi
See all 53 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 03D2012104

Southwest Skin Specialists, Ltd · Scottsdale, AZ
Active · expires Dec 1, 2027
CLIA Number03D2012104
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDavid J. Glembocki
Laboratory Phone(480) 659-8226
Laboratory LocationSouthwest Skin Specialists, Ltd5010 E Shea Blvd, Ste 130, Scottsdale, AZ 85254
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Southwest Skin Specialists, LLC's NPI number?

The NPI number for Southwest Skin Specialists, LLC is 1609185347. It was assigned to this organization in the NPPES registry on September 29, 2010. The provider is doing business as Southwest Skin Specialists, Ltd /.

Where is Southwest Skin Specialists, LLC located?

Southwest Skin Specialists, LLC is located at 5010 E Shea Blvd Ste 130, Scottsdale, AZ 85254. The listed phone number is (602) 494-1817.

What is Southwest Skin Specialists, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Southwest Skin Specialists, LLC enrolled in Medicare?

Yes. Southwest Skin Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Skin Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwest Skin Specialists, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (46), Pathology (3) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 1 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Skin Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2012104) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Skin Specialists, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Southwest Skin Specialists, LLC 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 Southwest Skin Specialists, LLC was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.